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Indiana rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $37.04 / $77.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $38.02 / $43.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.50 / $69.68 / $77.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $50.93 / $68.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.92 / $85.64 / $116.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $85.64 / $105.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $77.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $50.36 / $79.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $38.84 / $58.52