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Kentucky rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Facilitymedian $724 · 10th–90th $457–$1,6600%20%10th90th$724Professionalmedian $575 · 10th–90th $417–$8130%20%40%10th90th$575$500.0$1.0K$2.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $562.34 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $831.76 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $977.24 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $602.56
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,288.25 / $1,659.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,202.26 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $758.58 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $645.65 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $524.81 / $741.31