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Kentucky rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.05 / $312.97 / $325.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.42 / $346.83 / $397.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.37 / $657.62 / $691.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.58 / $395.04 / $401.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.22 / $927.24 / $1,192.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.50 / $857.08 / $1,085.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $843.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $3,535.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.67 / $419.12 / $523.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $335.71 / $505.56