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Kentucky rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.08 / $1,512.31 / $1,572.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.24 / $1,777.13 / $2,040.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.14 / $3,177.74 / $3,339.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.15 / $1,908.56 / $1,932.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.31 / $4,480.60 / $6,037.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,177.74 / $4,289.95 / $5,358.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $4,129.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $17,306.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.69 / $2,025.24 / $2,531.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,724.20 / $2,445.06