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Kentucky rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.01 / $328.46 / $341.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.13 / $299.01 / $341.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.77 / $517.64 / $517.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.64 / $690.18 / $725.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.00 / $358.64 / $412.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.64 / $865.68 / $1,000.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.67 / $828.22 / $1,138.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $811.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $3,400.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.95 / $432.87 / $541.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.54 / $344.32 / $458.97