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Alabama rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.69 / $2,333.69 / $2,333.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.25 / $2,333.69 / $2,333.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.29 / $2,066.29 / $2,066.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $2,761.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $2,642.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,385.01 / $1,906.70