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Alaska rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.66 / $625.66 / $625.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $461.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $222.98 / $222.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.69 / $678.77 / $1,071.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $222.98 / $432.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $811.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $520.39 / $520.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.32 / $356.45 / $683.19