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Kentucky rates for HCPCS L7403

Addition To Upper Extremity Prosthesis Below Elbow/Wrist Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $212.73 / $221.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.66 / $215.82 / $236.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.26 / $447.00 / $469.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.08 / $238.53 / $267.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.25 / $622.42 / $715.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.65 / $555.74 / $737.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $523.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $248.27 / $2,132.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.85 / $268.11 / $335.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.66 / $223.01 / $330.22