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Kentucky rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.17 / $337.96 / $350.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.14 / $302.32 / $350.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.31 / $657.53 / $691.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.72 / $327.32 / $340.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.15 / $825.37 / $953.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.65 / $789.04 / $1,084.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $770.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $3,026.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.63 / $419.07 / $523.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.34 / $276.36 / $364.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.69 / $296.19 / $426.71