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Alaska rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $467.74 / $676.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,698.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $724.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $363.08 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $1,000.00