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Kentucky rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.65 / $181.53 / $188.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.07 / $186.25 / $260.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.07 / $324.22 / $324.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.44 / $381.43 / $400.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.41 / $229.09 / $231.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.07 / $534.00 / $815.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.43 / $476.79 / $629.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $492.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $2,063.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.34 / $243.10 / $303.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $190.30 / $293.23