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Michigan rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $355 · 10th–90th $195–$1,4130%20%10th90th$355Professionalmedian $174 · 10th–90th $123–$3470%20%10th90th$174$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,047.13 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $363.08
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $223.87 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $660.69 / $741.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $426.58
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $162.18 / $234.42