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Arizona 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
Professional
Modifier
Low / Median / High Price
$1,212.79 / $1,241.94 / $2,066.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.56 / $2,556.06 / $4,621.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.89 / $2,358.52 / $3,213.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,303.96 / $3,201.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $1,395.78 / $12,858.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.25 / $1,230.61 / $1,896.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.25 / $1,230.61 / $1,853.75