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Alaska rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.37 / $877.37 / $877.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $663.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $242.00 / $242.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.94 / $951.84 / $1,502.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $242.00 / $644.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $646.37 / $931.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.85 / $499.85 / $958.05