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Kentucky rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.30 / $40.56 / $42.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $38.02 / $54.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.06 / $85.23 / $89.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $46.77 / $50.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.92 / $115.06 / $171.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.97 / $102.28 / $140.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $99.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $50.36 / $416.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $54.32 / $67.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $42.52 / $59.85