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Kentucky rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.57 / $1,154.20 / $1,200.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.50 / $1,275.81 / $1,457.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.72 / $2,425.26 / $2,548.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.33 / $1,456.62 / $1,481.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,818.95 / $3,419.62 / $4,376.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.94 / $3,145.50 / $4,001.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $1,769.38 / $3,170.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,769.38 / $13,290.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.44 / $1,545.67 / $1,932.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.62 / $1,364.57 / $1,854.95