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Kentucky rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.74 / $2,311.23 / $2,403.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.53 / $2,344.75 / $2,574.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,023.14 / $4,856.45 / $5,104.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.46 / $2,591.62 / $2,902.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,642.34 / $6,762.41 / $7,778.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,613.63 / $6,037.86 / $8,013.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $5,691.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,886.72 / $23,165.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,252.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.22 / $2,422.83 / $3,317.27