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Maryland rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.41 / $343.33 / $542.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $360.97 / $440.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $412.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.89 / $644.13 / $927.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.27 / $338.84 / $509.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.27 / $386.27 / $450.89