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Kansas rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.12 / $2,066.12 / $2,066.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.47 / $1,438.44 / $2,301.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.35 / $2,150.84 / $2,281.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.88 / $2,134.88 / $2,134.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $4,001.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $2,214.46 / $12,858.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,468.77 / $3,510.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.88 / $1,370.82 / $1,896.34