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Alaska rates for HCPCS L6930

Below elbow, 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
$7,334.00 / $7,334.00 / $7,334.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $6,489.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $2,595.84 / $2,595.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,956.54 / $9,626.56 / $12,562.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $2,595.84 / $6,300.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,489.70 / $9,737.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,178.35 / $4,178.35 / $8,008.50