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Kentucky rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.70 / $410.71 / $427.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.69 / $428.32 / $479.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.99 / $674.99 / $674.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.22 / $863.00 / $907.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.64 / $518.34 / $520.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.25 / $1,216.83 / $1,439.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.85 / $1,078.75 / $1,423.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $1,099.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $4,607.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $550.01 / $687.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $430.54 / $663.45