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Maryland rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.44 / $1,640.31 / $2,674.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.46 / $1,867.46 / $2,286.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,217.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $1,618.46 / $2,217.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.59 / $3,345.13 / $4,816.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.86 / $2,036.58 / $2,353.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.83 / $1,723.57 / $2,646.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.65 / $1,852.65 / $2,341.59