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Kentucky rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.34 / $135.08 / $140.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.74 / $120.60 / $140.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.68 / $283.83 / $298.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.34 / $134.41 / $136.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.87 / $344.65 / $411.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.89 / $340.60 / $468.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $332.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $157.63 / $1,232.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $180.89 / $226.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.40 / $141.61 / $181.31