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North Carolina 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
$2,066.29 / $2,066.29 / $4,193.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.94 / $2,066.29 / $2,066.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.82 / $2,670.98 / $5,071.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.78 / $2,082.14 / $2,082.14
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 / $1,786.24 / $3,201.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $2,066.29 / $3,334.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.48 / $2,031.48 / $2,031.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,234.10 / $3,234.10 / $4,972.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.10 / $1,385.01 / $2,008.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,638.93 / $12,858.35 / $12,858.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,901.92 / $20,213.09 / $20,213.09