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Kentucky rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $32.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $83.18 / $107.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $52.48 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $29.51 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $29.51 / $41.69