go back

Kentucky rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.43 / $39.96 / $62.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.08 / $51.89 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $117.89 / $117.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $32.03 / $38.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $28.77 / $28.77