go back

Alaska rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,809.35 / $8,809.35 / $8,809.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $8,994.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $3,573.07 / $3,573.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,557.11 / $10,539.24 / $15,090.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $3,573.07 / $8,732.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $11,789.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,862.29 / $5,018.89 / $9,619.53