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Mississippi 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
$1,555.80 / $1,555.80 / $2,430.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.43 / $2,262.00 / $2,430.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.33 / $2,151.33 / $2,151.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.33 / $2,151.33 / $2,151.33
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,385.01 / $1,896.34