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Missouri rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Facilitymedian $513 · 10th–90th $309–$1,2590%20%10th90th$513Professionalmedian $339 · 10th–90th $269–$5890%20%10th90th$339$0.5$2.0$10.0$50.0$200.0$1.0K

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
$281.84 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $323.59 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $338.84 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $457.09