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Kentucky rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.41 / $2,262.42 / $2,262.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.35 / $2,219.94 / $2,423.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.49 / $4,571.07 / $4,804.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.15 / $2,439.35 / $2,731.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,428.30 / $6,365.04 / $7,321.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,342.52 / $5,683.08 / $7,542.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $5,356.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,538.78 / $21,804.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.98 / $2,867.06 / $3,583.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.30 / $2,280.46 / $3,122.37