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Arkansas 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
$1,542.94 / $1,542.94 / $1,542.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.83 / $1,542.94 / $1,542.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.44 / $3,171.75 / $3,524.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.08 / $2,695.08 / $2,776.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.08 / $2,695.08 / $2,695.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $2,220.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $2,168.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,384.90 / $1,896.34