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Kentucky rates for HCPCS L5677

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $602.56 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $363.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $794.33 / $1,047.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $398.11 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $457.09