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Kansas rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.57 / $520.57 / $520.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.98 / $362.42 / $579.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.79 / $548.20 / $583.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.61 / $575.61 / $575.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $1,003.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $540.69 / $3,605.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $396.40 / $884.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $520.39 / $692.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $532.23