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Alaska rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.69 / $3,199.69 / $3,199.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $2,414.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.14 / $1,077.14 / $1,077.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,471.29 / $3,471.29 / $5,480.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.14 / $1,077.14 / $2,264.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,414.39 / $3,602.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.05 / $1,822.93 / $3,493.95