go back

Kansas rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.09 / $176.09 / $176.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $122.60 / $196.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.86 / $149.31 / $158.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.21 / $148.21 / $148.21
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 / $343.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $188.73 / $1,050.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $128.65 / $299.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $116.83 / $152.35