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Kansas rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,401.86 / $3,401.86 / $3,401.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.09 / $2,368.38 / $3,789.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,277.60 / $3,576.02 / $3,793.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,549.49 / $3,549.49 / $3,549.49
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 / $6,588.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.09 / $3,646.12 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,522.33 / $5,779.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.70 / $2,257.05 / $3,122.37