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Indiana rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.33 / $298.33 / $626.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.33 / $306.08 / $311.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.21 / $561.03 / $626.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.06 / $340.52 / $469.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.67 / $689.54 / $940.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.82 / $689.54 / $846.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $626.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $643.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.24 / $312.73 / $443.04