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Kentucky rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Facilitymedian $1,738 · 10th–90th $1,349–$4,0740%10%20%10th90th$1,738Professionalmedian $1,413 · 10th–90th $1,175–$2,1380%20%10th90th$1,413$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,412.54 / $2,187.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,951.21 / $3,090.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,380.38 / $1,778.28
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,890.45 / $5,011.87
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,137.96 / $12,302.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,513.56 / $1,737.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,412.54 / $1,819.70