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Kansas rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.63 / $370.63 / $370.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $258.02 / $412.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $307.87 / $327.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.42 / $329.42 / $329.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $615.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $397.24 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $276.83 / $629.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.94 / $245.90 / $327.82