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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

Facilitymedian $155 · 10th–90th $98–$3890%10%10th90th$155Professionalmedian $117 · 10th–90th $91–$1820%20%40%10th90th$117$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $117.49 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $123.03 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $275.42 / $354.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $169.82 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $138.04 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $134.90 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $109.65 / $158.49