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Kentucky rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.16 / $207.08 / $215.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.89 / $229.46 / $268.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.86 / $435.12 / $457.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.51 / $261.33 / $263.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.33 / $613.52 / $840.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.36 / $554.47 / $717.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $579.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.54 / $2,429.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.39 / $277.31 / $346.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $222.80 / $334.51