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Kentucky rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$209

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$174 to $224
FacilityA hospital or hospital-owned outpatient department$234$166 to $372

How much rates vary

Facilitymedian $234 · 10th to 90th $166 to $575Professionalmedian $209 · 10th to 90th $155 to $263
$50$100$200$500$1K$2Kfacility $234professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$346.74
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$269.15

Where Kentucky sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 38th of 51

$209

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.