go back

North Dakota rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $611.00 / $611.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.08 / $646.69 / $646.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.21 / $928.40 / $951.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.13 / $904.08 / $1,136.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.91 / $611.00 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.99 / $502.29 / $669.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $418.97 / $669.13