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Kansas rates for HCPCS L6695

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.40 / $563.40 / $563.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.25 / $392.24 / $627.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.80 / $598.75 / $636.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.69 / $628.69 / $628.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $564.36 / $564.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $564.36 / $1,145.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.25 / $603.82 / $3,490.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.28 / $400.49 / $957.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $373.79 / $513.79