go back

Kentucky rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.52 / $2,099.09 / $2,183.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.12 / $2,129.51 / $2,338.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,745.66 / $4,410.70 / $4,635.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.98 / $2,353.73 / $2,635.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.03 / $6,141.63 / $7,064.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,190.17 / $5,483.60 / $7,277.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $5,168.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $21,117.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.04 / $2,811.03 / $3,513.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.97 / $2,200.44 / $3,012.78