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Alaska rates for HCPCS L6677

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

Facilitymedian $191 · 10th–90th $102–$3550%20%40%10th90th$191Professionalmedian $234 · 10th–90th $174–$4370%10%10th90th$234$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $380.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $251.19 / $338.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $1,148.15
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $338.84 / $354.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $354.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $354.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $229.09 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $173.78 / $776.25