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Arizona rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.88 / $2,044.89 / $3,402.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.01 / $4,208.59 / $7,608.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.52 / $3,883.36 / $5,291.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,270.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.09 / $2,196.57 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.34 / $2,026.24 / $3,122.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.34 / $2,026.24 / $3,052.24