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Indiana 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
$409.90 / $409.90 / $861.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.90 / $420.56 / $491.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.43 / $770.86 / $861.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.52 / $470.36 / $649.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.11 / $947.43 / $1,291.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.11 / $947.43 / $1,162.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $861.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $883.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.07 / $429.70 / $608.74