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Alaska rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.07 / $306.07 / $306.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $246.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $103.04 / $103.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.05 / $332.05 / $524.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $103.04 / $231.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $246.96 / $409.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $174.38 / $334.22