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Kentucky 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
$1,203.33 / $1,321.21 / $1,374.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.74 / $1,340.39 / $1,471.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.18 / $2,776.19 / $2,917.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.49 / $1,481.54 / $1,487.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.14 / $3,865.78 / $4,446.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.38 / $3,451.59 / $4,580.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $3,253.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $13,243.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.78 / $2,236.32 / $2,795.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.34 / $1,385.01 / $1,896.34