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Kentucky rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $12.25 / $12.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.57 / $14.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.02 / $25.73 / $27.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $15.46 / $15.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $36.02 / $45.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $32.15 / $42.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $32.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $138.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $16.39 / $20.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $12.83 / $19.78