go back

Ohio rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.57 / $115.57 / $268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.87 / $115.57 / $161.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $144.41 / $144.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.24 / $260.35 / $674.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $118.58 / $307.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.66 / $236.68 / $319.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.84 / $213.01 / $506.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $258.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $196.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $126.98 / $126.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.40 / $138.06 / $180.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.72 / $118.07 / $150.22