go back

Minnesota rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.47 / $291.47 / $291.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.83 / $250.25 / $291.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.10 / $347.98 / $484.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.38 / $330.58 / $347.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $1,073.85 / $2,982.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.50 / $427.71 / $512.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.54 / $1,030.32 / $2,348.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.50 / $403.50 / $415.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.58 / $347.98 / $1,446.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $145.40 / $349.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $172.06 / $173.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $145.66 / $459.33