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Alaska rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $174.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.46 / $106.46 / $106.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.07 / $343.07 / $541.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.46 / $106.46 / $239.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $267.83 / $423.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.17 / $180.17 / $345.32