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Kansas rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.09 / $172.09 / $172.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $119.81 / $191.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.47 / $181.55 / $193.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.63 / $190.63 / $190.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $375.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $184.44 / $1,083.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $131.04 / $292.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.12 / $114.18 / $160.29