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Kentucky rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.39 / $292.47 / $304.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.13 / $324.12 / $372.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.56 / $614.54 / $645.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.44 / $369.11 / $373.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.91 / $866.52 / $1,118.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.14 / $803.84 / $1,014.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $796.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $3,338.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.16 / $391.67 / $489.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $306.58 / $472.45