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Kentucky rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.82 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $138.04 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $72.44 / $83.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $181.97 / $239.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $114.82 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $81.28 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $93.33