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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
$44.06 / $64.50 / $67.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.58 / $65.61 / $73.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.36 / $135.52 / $142.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $72.79 / $80.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.64 / $182.95 / $220.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.74 / $169.40 / $223.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $158.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $664.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.82 / $86.37 / $107.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.07 / $67.61 / $93.18