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Kentucky rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,265.80 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $2,570.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,754.40 / $7,413.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,981.07 / $22,908.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,290.87 / $3,235.94