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Alaska rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.72 / $953.72 / $953.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $440.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $205.60 / $205.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.20 / $1,034.67 / $1,633.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $205.60 / $412.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $440.22 / $810.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.40 / $543.35 / $1,041.43