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Alaska rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,218.18 / $4,218.18 / $4,218.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $2,044.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $1,420.00 / $1,420.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,576.24 / $4,576.24 / $7,225.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $1,420.00 / $2,801.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $3,572.63 / $5,645.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.19 / $2,403.19 / $4,606.12