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North Carolina rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,564.69 / $2,564.69 / $5,205.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.50 / $2,564.69 / $2,564.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,762.70 / $3,315.24 / $6,294.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.11 / $2,584.36 / $2,584.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,217.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $3,973.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.09 / $2,564.69 / $3,880.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.00 / $1,928.00 / $2,418.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,014.20 / $4,014.20 / $6,172.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.86 / $2,018.42 / $2,353.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.78 / $1,719.08 / $2,492.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,757.86 / $16,018.84 / $16,018.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,255.00 / $17,255.00 / $25,088.48