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Arkansas rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.48 / $2,540.48 / $2,540.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.12 / $2,540.48 / $2,540.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,945.80 / $5,222.38 / $5,802.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,437.52 / $4,437.52 / $4,571.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.52 / $4,437.52 / $4,437.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $3,656.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $3,434.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,280.27 / $3,092.51