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Alaska rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.73 / $535.73 / $535.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $432.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $180.36 / $180.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.21 / $581.21 / $917.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $180.36 / $405.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $432.29 / $603.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.69 / $305.20 / $584.99