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Kentucky rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $60.89 / $63.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $60.49 / $69.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.43 / $87.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $118.46 / $124.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.41 / $56.88 / $61.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.76 / $130.31 / $186.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.57 / $145.71 / $189.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $138.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $208.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.91 / $75.50 / $94.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $56.35 / $76.88