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Kansas rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.67 / $204.67 / $204.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $142.49 / $227.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.73 / $256.30 / $280.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.50 / $265.50 / $265.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $170.15 / $349.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.75 / $219.37 / $1,135.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $145.50 / $347.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $135.79 / $173.88