go back

Kansas rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,692.84 / $3,692.84 / $3,692.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.00 / $2,570.96 / $4,113.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,368.95 / $4,766.74 / $5,056.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,731.38 / $4,731.38 / $4,731.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $7,152.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $3,957.97 / $22,982.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.37 / $2,811.99 / $6,274.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.40 / $2,450.10 / $3,389.45