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Ohio rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Facilitymedian $676 · 10th–90th $372$1,1220%20%40%10th90th$676Professionalmedian $324 · 10th–90th $269$5500%20%10th90th$324$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
$309.03 / $309.03 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $676.08 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $831.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $758.58
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $562.34 / $851.14
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $537.03 / $776.25
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $707.95 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $512.86 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $426.58