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Kentucky rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $14.66 / $15.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $14.66 / $15.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $28.53 / $29.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $14.80 / $15.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $39.68 / $45.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $35.43 / $47.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $33.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $135.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $14.00 / $18.80