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Alaska rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.24 / $206.24 / $206.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $172.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $83.31 / $83.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.74 / $245.75 / $353.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $83.31 / $161.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $276.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.54 / $194.44 / $194.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.50 / $117.50 / $225.20