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Mississippi 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
$575.28 / $575.28 / $898.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.37 / $658.80 / $898.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.50 / $795.50 / $795.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.50 / $795.50 / $795.50
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 / $766.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.07 / $512.14 / $810.88