go back

Alaska rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $776.25 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $2,041.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $416.87 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $489.78 / $1,621.81