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Kentucky rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.99 / $1,374.56 / $1,429.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.25 / $1,513.36 / $1,755.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.96 / $2,888.29 / $3,035.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.92 / $1,675.42 / $1,696.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.21 / $4,072.49 / $5,269.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.64 / $3,787.74 / $4,765.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $3,595.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,743.07 / $15,068.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.44 / $1,840.79 / $2,300.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.63 / $1,483.65 / $2,144.53