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Kentucky rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.56 / $1,204.02 / $1,248.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.39 / $1,204.02 / $1,251.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.23 / $2,342.54 / $2,462.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.65 / $1,218.82 / $1,250.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.91 / $3,261.87 / $3,752.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.41 / $2,912.39 / $3,865.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $2,745.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $1,300.55 / $11,215.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.21 / $1,492.95 / $1,866.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.11 / $1,124.90 / $1,544.32