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Kentucky rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.51 / $74.98 / $77.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $70.33 / $77.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.07 / $157.55 / $165.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $75.19 / $76.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.16 / $201.66 / $230.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.13 / $189.06 / $259.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $184.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $91.18 / $702.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.33 / $100.41 / $125.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.40 / $78.61 / $103.87