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Kentucky rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.33 / $733.61 / $762.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.99 / $812.99 / $911.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.58 / $1,541.50 / $1,620.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.99 / $925.84 / $1,450.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.13 / $2,173.52 / $2,848.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.20 / $2,047.26 / $2,543.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $2,030.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $8,508.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.60 / $982.44 / $1,228.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $801.91 / $1,178.94