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Kansas rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.12 / $136.12 / $136.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $94.77 / $151.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.19 / $244.08 / $259.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.88 / $231.88 / $231.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $339.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $145.91 / $917.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $103.67 / $231.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.21 / $90.32 / $135.00