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Washington, DC 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
$1,436.52 / $1,436.52 / $1,436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.52 / $1,436.52 / $1,436.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.10 / $1,510.34 / $1,842.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,303.96 / $1,303.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.80 / $1,751.80 / $5,349.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.36 / $1,344.55 / $1,904.77