go back

Ohio rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.22 / $207.22 / $511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $207.22 / $333.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.50 / $466.83 / $1,209.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.62 / $248.84 / $552.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.29 / $424.39 / $594.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.85 / $424.39 / $908.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $547.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $350.71
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $274.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.44 / $315.48 / $413.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.15 / $211.72 / $318.51