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Alaska rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.58 / $584.58 / $584.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $362.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $247.97 / $247.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.20 / $821.09 / $1,001.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $247.97 / $496.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $641.02 / $977.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $333.04 / $638.33