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Kentucky rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.05 / $889.05 / $924.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.76 / $985.24 / $1,289.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.89 / $1,868.10 / $1,963.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.69 / $1,121.99 / $1,211.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.08 / $2,634.02 / $3,549.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.10 / $2,521.94 / $3,385.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $2,406.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $1,167.30 / $10,086.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.27 / $1,190.58 / $1,488.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $998.77 / $1,436.15