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Kentucky rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,127.66 / $2,436.56 / $2,534.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,175.42 / $2,471.89 / $2,714.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,187.08 / $5,119.81 / $5,380.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.64 / $2,732.14 / $2,779.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,839.86 / $7,129.11 / $8,200.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,863.82 / $6,365.28 / $8,447.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $5,999.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $3,294.10 / $24,422.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,633.19 / $3,211.21 / $4,014.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.81 / $2,554.21 / $3,472.86