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Alaska rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,924.65 / $7,924.65 / $7,924.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $6,541.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $6,738.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $2,579.84 / $2,579.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,597.33 / $8,872.53 / $13,574.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.84 / $2,579.84 / $6,541.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,738.08 / $9,625.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,373.97 / $4,514.85 / $8,653.45