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Colorado 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
$1,395.78 / $1,395.78 / $1,395.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.16 / $1,395.78 / $2,090.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,791.55 / $3,136.59 / $5,694.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.71 / $1,487.71 / $1,606.73
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 / $2,940.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $1,395.78 / $3,709.45
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.47 / $794.47 / $794.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.83 / $3,489.44 / $5,583.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.80 / $1,230.61 / $1,896.34