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Ohio rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.86 / $174.86 / $448.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.43 / $174.86 / $240.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.26 / $393.91 / $1,020.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.41 / $195.45 / $465.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.58 / $358.10 / $483.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.07 / $324.08 / $766.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $421.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $169.11 / $295.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $231.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $178.65 / $245.94