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Kentucky rates for HCPCS L5645

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $602.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $1,659.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $891.25 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $630.96 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $741.31