go back

Michigan rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.99 / $357.99 / $357.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.33 / $357.99 / $357.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.78 / $1,890.33 / $3,442.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.51 / $626.85 / $846.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.67 / $407.45 / $409.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.48 / $501.48 / $501.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.51 / $405.51 / $726.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.99 / $453.00 / $453.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.69 / $453.00 / $658.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.28 / $463.87 / $533.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.66 / $299.68 / $448.66