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North Carolina rates for HCPCS L6691

Upper extremity addition, removable insert, each

Facilitymedian $331 · 10th–90th $186–$8910%20%10th90th$331Professionalmedian $309 · 10th–90th $182–$3470%20%40%10th90th$309$0.5$5.0$50.0$500.0$5.0K

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
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $316.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $208.93 / $346.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $363.08 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $316.23
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,311.31