go back

Indiana rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $575.44 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $323.59 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $371.54