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Kentucky rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.11 / $1,153.94 / $1,200.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.27 / $1,170.67 / $1,285.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.38 / $2,424.69 / $2,548.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.08 / $1,293.94 / $1,448.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,818.53 / $3,376.30 / $3,883.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.46 / $3,014.55 / $4,000.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $2,841.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $11,609.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.15 / $1,545.31 / $1,931.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.44 / $1,209.66 / $1,656.24