go back

Indiana rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.64 / $112.64 / $236.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.30 / $112.64 / $117.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.98 / $211.83 / $236.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $117.63 / $162.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.66 / $248.51 / $331.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.18 / $260.35 / $319.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $236.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $242.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $118.07 / $156.53