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Maryland rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.14 / $111.72 / $182.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $121.00 / $154.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $92.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $225.57 / $324.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.06 / $118.16 / $178.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.51 / $116.51 / $157.90