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Kansas rates for HCPCS L6696

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.17 / $1,188.17 / $1,188.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.00 / $827.21 / $1,323.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.75 / $1,296.58 / $1,379.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.41 / $1,361.41 / $1,361.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.63 / $886.63 / $886.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.24 / $886.63 / $2,301.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.00 / $1,273.47 / $7,396.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $844.65 / $2,018.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.54 / $788.32 / $1,090.83