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Maryland rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.18 / $2,175.96 / $3,547.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,379.33 / $2,486.82 / $3,033.46
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 / $2,146.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.26 / $4,437.52 / $6,390.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.24 / $2,289.98 / $3,510.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,457.65 / $2,457.65 / $3,106.26