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North Carolina rates for HCPCS L6620

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.91 / $273.91 / $555.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $273.91 / $273.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.05 / $354.06 / $672.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.78 / $276.02 / $276.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.65 / $292.48 / $292.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $292.48 / $524.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.21 / $273.91 / $414.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $207.00 / $259.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.30 / $436.30 / $671.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.30 / $183.60 / $279.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.58 / $2,178.59 / $2,178.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.52 / $2,201.52 / $2,729.40