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Alaska rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $17.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $25.70 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $31.62 / $97.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.84 / $29.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $29.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $23.99 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $61.66