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Kentucky rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $302 · 10th–90th $191–$7080%20%10th90th$302Professionalmedian $229 · 10th–90th $178–$3470%20%40%10th90th$229$200.0$500.0$1.0K$2.0K

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
$190.55 / $190.55 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $407.38 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $239.88 / $239.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $537.03 / $691.83
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $263.03 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $309.03