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Kentucky rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.38 / $1,575.53 / $1,638.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.67 / $1,741.54 / $2,045.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.83 / $3,310.57 / $3,479.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.42 / $1,988.34 / $1,988.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.92 / $4,667.89 / $6,141.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,262.43 / $4,413.87 / $5,462.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $4,343.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $18,203.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.10 / $2,109.89 / $2,637.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.50 / $2,182.50 / $2,545.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $1,728.91 / $2,545.08