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Kentucky rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $676.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $1,949.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $724.44 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $831.76