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Kentucky rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.43 / $302.30 / $314.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.89 / $334.15 / $400.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.90 / $518.90 / $518.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.41 / $635.20 / $667.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.08 / $337.51 / $379.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.40 / $895.63 / $1,106.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.44 / $795.65 / $1,048.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $766.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $437.94 / $3,214.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.95 / $404.82 / $506.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.26 / $316.89 / $466.21