go back

Missouri rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.98 / $421.53 / $435.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.98 / $326.54 / $593.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.76 / $654.95 / $2,879.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.41 / $340.52 / $513.04
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 / $432.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.98 / $502.69 / $2,919.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $333.42 / $553.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $311.18 / $461.30