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Alaska rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.08 / $214.08 / $214.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $92.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.81 / $232.26 / $366.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $62.01 / $126.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $152.87 / $241.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.97 / $121.97 / $233.77