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Alaska rates for HCPCS L6935

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,493.42 / $8,493.42 / $8,493.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $7,503.37 / $7,503.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $7,503.37 / $7,998.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.15 / $3,034.15 / $3,034.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,214.37 / $10,173.95 / $14,549.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.15 / $3,034.15 / $7,503.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $7,942.73 / $10,454.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,687.91 / $4,838.89 / $9,274.54