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Kentucky rates for HCPCS L2624

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Extension Abduction Control Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.61 / $241.40 / $250.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.67 / $241.40 / $252.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.37 / $469.67 / $493.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.46 / $218.46 / $229.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.25 / $596.90 / $752.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.02 / $587.09 / $774.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $550.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $2,071.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.45 / $299.33 / $374.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.74 / $184.46 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $211.78 / $309.63