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Alaska rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.60 / $289.60 / $289.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $244.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $251.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.28 / $108.28 / $108.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.17 / $392.82 / $496.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.28 / $108.28 / $244.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $251.39 / $387.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.99 / $164.99 / $316.24