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Kansas rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.83 / $276.83 / $276.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.46 / $192.74 / $308.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.34 / $438.08 / $465.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.18 / $416.18 / $416.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $536.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.46 / $296.72 / $1,722.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $196.81 / $470.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.45 / $183.68 / $254.10