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Texas 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
$353.97 / $353.97 / $382.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.97 / $394.52 / $707.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.39 / $481.39 / $481.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.48 / $808.48 / $808.48
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.98 / $3,942.99 / $3,942.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,278.29 / $4,278.29 / $5,774.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $567.76 / $808.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.77 / $727.63 / $864.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $540.20 / $808.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $718.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.08 / $473.51 / $578.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.88 / $470.36 / $808.48