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Kansas rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.91 / $267.91 / $267.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.04 / $186.52 / $298.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.62 / $278.89 / $295.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.82 / $276.82 / $276.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $518.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $287.16 / $1,667.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $190.47 / $455.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.50 / $177.76 / $245.94