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Minnesota rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $380 · 10th–90th $288–$2,5700%20%10th90th$380Professionalmedian $347 · 10th–90th $166–$4070%50%10th90th$347$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
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $346.74 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,318.26 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $457.09 / $512.86
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,288.25 / $2,570.40
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $346.74 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $144.54 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $173.78 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $173.78 / $478.63