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Alaska rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.46 / $767.46 / $767.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $649.92 / $692.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.47 / $260.47 / $260.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.61 / $985.72 / $1,314.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.47 / $260.47 / $649.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $692.86 / $1,026.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.24 / $437.24 / $1,951.69