go back

North Dakota rates for HCPCS L6647

Upper Extremity Addition Shoulder Lock Mechanism Body Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.10 / $461.10 / $461.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.10 / $525.04 / $525.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.57 / $700.63 / $718.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.75 / $734.02 / $922.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.91 / $490.55 / $2,919.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.49 / $419.04 / $512.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.74 / $443.07 / $664.61