go back

Kentucky rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.25 / $2,089.35 / $2,172.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.43 / $2,106.14 / $2,339.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,732.93 / $4,390.25 / $4,614.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.41 / $2,381.38 / $2,396.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.69 / $5,926.84 / $7,021.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,170.74 / $5,485.31 / $7,243.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $5,144.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $2,728.17 / $21,424.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.35 / $2,797.99 / $3,497.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.16 / $2,190.25 / $3,048.16