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Kentucky 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
$338.45 / $351.99 / $351.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.10 / $370.60 / $421.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.70 / $711.17 / $747.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.63 / $401.40 / $424.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.38 / $1,002.75 / $1,265.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.61 / $909.28 / $1,173.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $564.36 / $857.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $564.36 / $3,595.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.68 / $427.67 / $534.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.53 / $356.52 / $513.79