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Kentucky rates for HCPCS L5656

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.84 / $215.36 / $223.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.28 / $238.05 / $276.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.69 / $452.52 / $475.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.66 / $267.42 / $270.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.39 / $638.04 / $830.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.29 / $597.03 / $746.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $575.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $328.62 / $2,414.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.49 / $288.41 / $360.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.50 / $225.76 / $342.28