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Kentucky rates for HCPCS L7404

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.41 / $321.04 / $333.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.26 / $325.73 / $357.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.93 / $674.58 / $708.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $360.01 / $403.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.94 / $939.44 / $1,080.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $838.79 / $1,113.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.07 / $434.07 / $790.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $434.07 / $3,218.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.95 / $423.12 / $528.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.36 / $336.55 / $450.57