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Indiana rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $215.17 / $452.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.15 / $215.17 / $223.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.18 / $404.66 / $452.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.58 / $218.58 / $301.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.83 / $474.74 / $632.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.31 / $497.34 / $610.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $292.48 / $452.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $292.48 / $463.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.04 / $225.56 / $302.11