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Indiana rates for HCPCS L6648

Upper extremity addition, shoulder lock mechanism, external powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.87 / $1,868.87 / $3,926.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.87 / $1,906.24 / $1,954.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,102.29 / $3,514.62 / $3,926.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.41 / $2,143.16 / $2,957.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.15 / $4,319.64 / $5,890.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,337.91 / $4,319.64 / $5,301.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $2,540.30 / $3,926.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $2,540.30 / $4,028.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.75 / $1,959.11 / $2,696.88