go back

Kentucky rates for HCPCS L5649

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.65 / $1,362.71 / $1,417.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.34 / $1,408.19 / $1,577.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.54 / $2,147.54 / $2,219.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.45 / $2,863.38 / $3,009.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.25 / $1,372.56 / $1,711.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.54 / $3,838.35 / $4,734.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.58 / $3,579.23 / $4,724.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $3,355.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $12,317.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.40 / $1,824.88 / $2,281.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.34 / $1,428.51 / $1,887.69