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Alabama rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,842.49 / $3,842.49 / $3,842.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.55 / $3,842.49 / $3,842.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $4,546.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,270.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,280.46 / $3,139.43