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Kentucky 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
$161.25 / $177.05 / $184.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $179.60 / $197.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.58 / $372.02 / $390.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $198.52 / $222.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.02 / $517.99 / $595.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.42 / $462.49 / $613.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $435.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $206.62 / $1,774.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.44 / $223.71 / $279.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.73 / $185.59 / $254.10