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Kentucky 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
$83.18 / $83.18 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $177.83 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $104.71 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $234.42 / $309.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $162.18 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $138.04