go back

North Dakota rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.64 / $123.64 / $123.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.64 / $126.32 / $126.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.88 / $187.86 / $192.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.75 / $176.50 / $221.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.93 / $126.32 / $771.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $108.93 / $137.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $108.93 / $135.40