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Kentucky rates for HCPCS L5100

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

Facilitymedian $2,089 · 10th–90th $1,380–$5,0120%10%10th90th$2,089Professionalmedian $1,660 · 10th–90th $1,259–$2,4550%20%40%10th90th$1,660$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,584.89 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,951.21 / $3,090.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,659.59 / $1,737.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,890.45 / $5,011.87
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,290.87 / $15,135.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,949.84 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,862.09 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,479.11 / $2,137.96