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Ohio rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.79 / $232.79 / $566.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.21 / $232.79 / $293.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.67 / $524.42 / $1,358.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.85 / $247.06 / $619.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.32 / $476.75 / $643.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.10 / $450.14 / $1,020.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $586.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $204.89 / $358.56
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $280.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $280.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.24 / $278.08 / $364.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.56 / $237.85 / $312.33