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Nationwide rates for HCPCS L6694

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $467.74 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $501.19 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $616.60 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $676.08