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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
$397.61 / $536.28 / $557.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.80 / $618.22 / $719.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.46 / $1,126.84 / $1,184.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.14 / $656.97 / $676.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.14 / $1,588.86 / $2,141.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.84 / $1,521.25 / $1,890.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $1,402.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $957.73 / $5,876.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.89 / $718.17 / $897.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.78 / $562.17 / $840.91