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Maryland rates for HCPCS L6620

Upper Extremity Addition Flexion/Extension Wrist Unit With Or Without Friction. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.15 / $189.63 / $352.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $207.00 / $264.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $292.48 / $292.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $213.51 / $292.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.70 / $386.71 / $556.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.20 / $202.58 / $305.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.22 / $220.22 / $270.70