go back

North Carolina rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $290.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $143.31 / $143.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.38 / $185.26 / $351.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $144.41 / $144.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.11 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $95.29 / $274.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $143.31 / $226.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $136.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.10 / $308.10 / $473.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $96.47 / $150.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.62 / $1,145.36 / $1,145.36
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,232.30 / $1,925.48