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Kentucky rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.10 / $206.99 / $215.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.80 / $212.37 / $241.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.75 / $434.94 / $457.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.43 / $261.22 / $263.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.20 / $608.91 / $717.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.94 / $543.67 / $717.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $577.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $2,420.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.29 / $277.19 / $346.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $216.98 / $334.37