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Kentucky rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.60 / $197.90 / $205.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.68 / $205.81 / $276.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $415.83 / $437.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.50 / $248.84 / $248.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.87 / $586.32 / $864.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.04 / $519.79 / $686.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $547.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $2,294.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.32 / $265.02 / $331.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.30 / $207.45 / $318.51