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Texas rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.91 / $275.91 / $297.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $297.98 / $551.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.23 / $375.23 / $375.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.19 / $630.19 / $630.19
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 / $405.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.10 / $2,919.01 / $2,919.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,156.12 / $3,156.12 / $4,588.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $439.17 / $630.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.39 / $567.16 / $630.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $421.06 / $630.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $432.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $344.39 / $420.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $340.52 / $630.19