go back

Maryland rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.54 / $300.00 / $489.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.91 / $367.91 / $418.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $405.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.26 / $611.79 / $880.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.58 / $307.69 / $478.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $428.26