go back

North Dakota rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.20 / $188.20 / $188.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.20 / $288.89 / $288.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $285.97 / $293.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.75 / $403.75 / $507.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.22 / $207.41 / $1,316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.05 / $193.57 / $215.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.54 / $170.54 / $170.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $143.38 / $215.08