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Kentucky rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.98 / $91.64 / $95.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $110.61 / $126.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.86 / $192.55 / $202.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $115.65 / $118.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.41 / $271.50 / $372.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.55 / $259.94 / $331.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $258.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $126.98 / $1,082.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.62 / $122.71 / $153.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $102.94 / $148.03