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North Dakota rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Facilitymedian $457 · 10th–90th $457–$9120%20%40%90th$457Professionalmedian $479 · 10th–90th $275–$7240%10%10th90th$479$200.0$500.0$1.0K$2.0K

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
$457.09 / $457.09 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $707.95 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $724.44 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $524.81 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $426.58 / $741.31