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Vermont rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,165.46 / $2,165.46 / $2,498.61
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
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,146.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.92 / $2,628.63 / $5,129.97