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California rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.93 / $201.93 / $970.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.20 / $201.93 / $970.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.35 / $515.39 / $1,067.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.64 / $205.41 / $378.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $398.03 / $710.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $446.08 / $1,039.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.25 / $244.07 / $244.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $178.17 / $251.39
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.69 / $131.63 / $369.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.72 / $235.34 / $521.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.84 / $1,746.86 / $1,746.86
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.65 / $2,151.65 / $3,361.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.46 / $887.46 / $887.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.28 / $297.23 / $362.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $373.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.54 / $634.54 / $634.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.69 / $186.47 / $268.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.02 / $448.26 / $448.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.08 / $169.33 / $336.20