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Kentucky rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.98 / $365.25 / $379.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.10 / $409.10 / $471.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.75 / $767.47 / $806.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.97 / $460.95 / $468.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.60 / $1,082.13 / $1,415.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.84 / $1,017.20 / $1,266.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $985.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $4,129.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.08 / $489.13 / $611.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $398.44 / $590.01