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North Carolina rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Facilitymedian $525 · 10th–90th $309–$1,3490%20%10th90th$525Professionalmedian $468 · 10th–90th $302–$5250%20%40%10th90th$468$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $436.52 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $346.74 / $467.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $524.81 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $537.03
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $5,248.07