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Kentucky rates for HCPCS L5643

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

Facilitymedian $1,413 · 10th–90th $891$3,3110%20%10th90th$1,413Professionalmedian $1,122 · 10th–90th $813$1,6220%20%10th90th$1,122$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,511.89
Typical High
$3,235.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$10,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,445.44