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Alaska rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.14 / $493.14 / $493.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $292.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $133.44 / $133.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.27 / $535.00 / $844.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $133.44 / $274.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $292.66 / $524.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.18 / $280.95 / $538.49