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Kentucky 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
$97.72 / $97.72 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $208.93 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $275.42 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $134.90 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $109.65 / $158.49