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Alaska rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $181.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $234.42 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $707.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $295.12 / $309.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $169.82 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $489.78