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Kentucky rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.85 / $286.52 / $297.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.82 / $293.97 / $334.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.54 / $511.74 / $511.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.78 / $602.04 / $632.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.58 / $361.59 / $365.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.54 / $842.87 / $993.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.04 / $752.56 / $993.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $786.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $3,297.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.63 / $383.70 / $479.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $300.36 / $462.84