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Kentucky rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.33 / $189.95 / $196.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.18 / $189.95 / $205.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.04 / $369.55 / $388.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.85 / $216.41 / $225.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.16 / $517.37 / $609.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.55 / $461.94 / $609.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $476.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $1,999.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $235.52 / $294.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $184.37 / $246.93