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Kentucky rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.20 / $1,438.88 / $1,496.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.67 / $1,438.88 / $1,635.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.09 / $3,023.44 / $3,177.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.11 / $1,766.63 / $1,788.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,267.58 / $4,118.00 / $4,853.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.27 / $3,676.79 / $4,988.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $3,795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,902.78 / $15,906.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.04 / $1,926.89 / $2,408.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.57 / $1,508.36 / $2,249.69