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Alaska rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $16 · 10th–90th $8–$300%20%40%10th90th$16Professionalmedian $20 · 10th–90th $14–$450%10%20%10th90th$20$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $25.70 / $29.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $31.62 / $97.72
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.20
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $29.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $23.99 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.79 / $61.66