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North Carolina rates for HCPCS L6623

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

Facilitymedian $759 · 10th–90th $417–$1,7380%10%20%10th90th$759Professionalmedian $589 · 10th–90th $398–$7940%20%10th90th$589$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $549.54 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $501.19 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $630.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $407.38 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $758.58 / $1,348.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $575.44 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $512.86 / $724.44
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $5,754.40