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Georgia rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.63 / $427.63 / $1,211.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.91 / $462.41 / $684.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.55 / $1,437.17 / $3,767.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.36 / $853.56 / $1,638.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.11 / $872.57 / $1,899.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.57 / $872.57 / $872.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $1,028.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.18 / $1,026.55 / $1,441.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.81 / $512.14 / $1,004.68