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Kentucky 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
$1,602.62 / $2,361.50 / $2,455.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.41 / $2,395.78 / $2,630.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.90 / $4,962.09 / $5,215.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.88 / $2,648.01 / $2,965.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,721.57 / $6,909.57 / $7,948.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,713.99 / $6,169.26 / $8,187.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $5,814.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,755.95 / $23,670.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.08 / $3,112.30 / $3,890.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.36 / $2,475.53 / $3,389.45