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Kentucky rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.71 / $61.79 / $64.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.08 / $64.05 / $66.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.84 / $120.23 / $126.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $68.81 / $68.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.17 / $169.52 / $222.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.22 / $150.29 / $198.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $152.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.43 / $639.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.82 / $76.62 / $95.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $59.14 / $89.70