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Connecticut 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
$1,309.90 / $1,309.90 / $1,309.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.83 / $1,215.36 / $1,312.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.69 / $2,695.08 / $3,083.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.71 / $1,487.71 / $1,574.14
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 / $1,786.24
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.80 / $1,751.80 / $1,751.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.80 / $1,751.80 / $2,479.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.11 / $2,052.11 / $2,052.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.08 / $1,344.55 / $1,896.34