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Alaska rates for HCPCS L6676

Upper extremity addition, harness, (e.g., figure of eight type), dual cable design

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.50 / $198.50 / $198.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $97.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $103.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $46.88 / $46.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.32 / $215.35 / $340.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $46.88 / $97.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $103.98 / $184.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.13 / $113.09 / $216.75