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Heel, Thomas with Wedge

Kentucky rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$37.15

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $38.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$33.88 to $38.02
FacilityA hospital or hospital-owned outpatient department$38.02$36.31 to $75.86

How much rates vary

Facilitymedian $38 · 10th to 90th $28 to $98Professionalmedian $37 · 10th to 90th $32 to $45
$10$20$50$100$200facility $38professional $37

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$44.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$38.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$42.66
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$45.71

Where Kentucky sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 35th of 51

$37.15

MN $70.79DC $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.