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Kentucky rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.50 / $974.74 / $1,013.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.27 / $988.88 / $1,085.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.99 / $2,048.17 / $2,152.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.96 / $1,092.98 / $1,111.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.13 / $2,852.00 / $3,280.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.76 / $2,546.42 / $3,379.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $2,400.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $9,786.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.37 / $1,305.33 / $1,631.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.20 / $1,021.81 / $1,399.02