go back

Kentucky rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.04 / $454.37 / $472.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.67 / $466.19 / $530.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.06 / $811.54 / $811.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.33 / $954.75 / $1,003.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.55 / $573.42 / $581.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.06 / $1,336.65 / $1,575.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.75 / $1,193.44 / $1,575.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $1,241.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $596.58 / $5,201.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.95 / $608.48 / $760.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $629.41 / $733.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $476.31 / $733.98