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Kentucky rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.73 / $267.81 / $278.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.10 / $271.68 / $298.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.30 / $562.73 / $591.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.19 / $300.27 / $305.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.05 / $783.54 / $901.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.59 / $699.59 / $928.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $659.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $2,694.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.06 / $358.62 / $448.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.16 / $280.73 / $384.36