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Kentucky rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.62 / $1,984.34 / $2,063.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.67 / $2,212.07 / $2,477.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.56 / $4,169.58 / $4,382.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.20 / $2,504.26 / $2,547.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,127.19 / $5,879.11 / $7,514.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,961.10 / $5,345.33 / $6,879.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $5,442.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $22,809.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.03 / $2,657.36 / $3,321.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.78 / $2,093.75 / $3,188.99