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Indiana rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.80 / $303.80 / $638.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.80 / $311.70 / $360.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.30 / $571.32 / $638.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.82 / $389.98 / $534.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.60 / $702.19 / $957.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.60 / $702.19 / $861.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $638.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $654.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.31 / $318.47 / $483.19