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Kansas rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.09 / $241.09 / $241.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $167.85 / $268.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.28 / $155.22 / $164.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.08 / $154.08 / $154.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $504.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.06 / $258.41 / $1,446.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $174.38 / $409.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $196.18 / $320.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.64 / $159.96 / $214.25