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Maryland rates for HCPCS L6623

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.91 / $459.23 / $764.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $475.00 / $496.06
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 / $362.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.63 / $885.19 / $1,274.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.74 / $445.84 / $691.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.88 / $465.88 / $619.63