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Alaska rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,606.93 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,760.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $8,317.64 / $9,332.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $29,512.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $9,332.54 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $9,332.54 / $9,549.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $9,549.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $6,606.93 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $21,877.62