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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
$63.83 / $83.57 / $86.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.61 / $92.38 / $124.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.31 / $175.60 / $184.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.64 / $105.47 / $114.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.69 / $247.60 / $333.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.60 / $237.06 / $327.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $225.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $945.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.76 / $111.91 / $139.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $93.88 / $135.00