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Kentucky rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.72 / $105.69 / $109.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.36 / $112.53 / $131.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.24 / $222.07 / $233.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $133.38 / $133.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.55 / $313.12 / $411.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.97 / $277.58 / $366.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $291.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $138.76 / $1,219.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.06 / $141.54 / $176.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $110.79 / $170.72