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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
$215.11 / $281.64 / $292.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.45 / $312.11 / $355.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.38 / $591.78 / $621.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.79 / $355.44 / $359.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.84 / $834.41 / $1,065.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.19 / $766.02 / $976.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $768.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $3,221.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.27 / $377.16 / $471.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $316.39 / $473.42