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Kentucky rates for HCPCS L5697

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.02 / $45.86 / $47.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.94 / $53.44 / $59.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.98 / $96.35 / $101.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.07 / $57.87 / $57.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.26 / $135.85 / $179.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.44 / $129.12 / $158.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.21 / $60.21 / $125.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $60.21 / $525.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.35 / $61.41 / $76.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.04 / $50.63 / $74.06