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Colorado rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.17 / $2,298.17 / $2,298.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.69 / $2,298.17 / $3,441.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,596.35 / $5,164.47 / $9,376.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.58 / $2,731.58 / $2,950.11
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.09 / $2,298.17 / $6,107.59
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.09 / $1,308.09 / $1,308.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,355.34 / $5,745.45 / $9,192.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.42 / $2,026.24 / $3,122.37