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Kentucky rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $47.56 / $49.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.69 / $48.31 / $59.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $69.41 / $115.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.61 / $92.54 / $97.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $43.87 / $54.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.93 / $105.02 / $168.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.93 / $112.41 / $148.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $116.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $58.00 / $162.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $58.97 / $73.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $45.20 / $61.01