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Kentucky 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
$251.65 / $329.48 / $342.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.17 / $338.05 / $384.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.96 / $692.31 / $727.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.81 / $415.82 / $420.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.23 / $969.23 / $1,142.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.31 / $865.39 / $1,142.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $846.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $3,549.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.80 / $441.23 / $551.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $532.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $520.39