go back

Alabama rates for HCPCS L6895

Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $501.19 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $512.86