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Kentucky rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Facilitymedian $95 · 10th–90th $74–$2340%20%10th90th$95Professionalmedian $76 · 10th–90th $66–$1200%20%40%10th90th$76$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $72.44 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $162.18 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $75.86 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $275.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $194.98 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $117.49 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $74.13 / $95.50