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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
$114.82 / $131.83 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $134.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $199.53 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $630.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $239.88 / $251.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $123.03 / $467.74