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Kentucky rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.01 / $118.92 / $120.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.61 / $124.80 / $139.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.74 / $243.76 / $256.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.02 / $146.40 / $148.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.82 / $343.70 / $434.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.57 / $304.70 / $402.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $318.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $159.21 / $1,333.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.21 / $183.19 / $228.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $121.61 / $187.40