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Kentucky rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.67 / $133.11 / $138.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.85 / $136.57 / $188.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.11 / $279.69 / $293.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.82 / $167.98 / $170.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.77 / $391.57 / $588.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.69 / $349.61 / $461.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $375.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $1,573.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.16 / $178.25 / $222.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $139.54 / $213.53