go back

North Carolina rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.86 / $542.86 / $1,101.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.99 / $542.86 / $542.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.47 / $1,081.91 / $1,332.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.74 / $547.02 / $547.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $451.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $739.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $542.86 / $851.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.00 / $410.00 / $512.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.00 / $766.00 / $1,177.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.58 / $363.88 / $527.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.94 / $4,042.87 / $4,042.87
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,901.09 / $4,901.09 / $4,901.09