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Kentucky rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.40 / $143.38 / $148.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.19 / $143.38 / $155.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.66 / $278.97 / $293.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.47 / $163.36 / $169.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.23 / $390.56 / $460.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.97 / $348.71 / $460.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $376.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $1,576.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.78 / $177.79 / $222.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $139.18 / $183.91