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Kentucky rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $10.77 / $18.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.84 / $14.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $54.93 / $54.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.89 / $84.09 / $239.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $25.86 / $129.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.24 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $28.09 / $101.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.83 / $95.83 / $114.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $12.98 / $19.28