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Kentucky rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $38.02 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $25.12 / $25.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $23.44 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $141.25 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.47 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.13 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.49 / $19.50