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Kentucky rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,786.30 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $8,128.31 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,786.30 / $5,011.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,715.19 / $14,125.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $10,000.00 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,760.83 / $43,651.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,370.32 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,248.07 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,265.80 / $6,165.95