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Kentucky rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.17 / $145.54 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $150.82 / $170.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.37 / $305.82 / $321.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $183.73 / $186.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.37 / $431.21 / $504.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.52 / $382.28 / $504.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $386.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $1,619.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.82 / $194.91 / $243.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $152.57 / $233.99