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North Carolina rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $933.25 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $478.63 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $316.23 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $512.86 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $416.87 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $446.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $4,570.88