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Kentucky rates for HCPCS L5722

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.91 / $549.73 / $571.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.81 / $601.76 / $721.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.06 / $1,155.11 / $1,214.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.32 / $650.86 / $677.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.34 / $1,628.72 / $2,164.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.13 / $1,556.05 / $1,905.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $1,384.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $5,802.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.66 / $736.18 / $920.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.18 / $576.28 / $833.09