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West Virginia rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.96 / $2,175.96 / $2,175.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,156.78 / $2,175.96 / $2,340.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.20 / $5,990.65 / $7,765.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.39 / $3,199.75 / $5,485.28
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 / $2,146.96 / $21,804.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.83 / $2,677.55 / $3,473.12