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Kentucky rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.18 / $1,047.95 / $1,089.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.64 / $1,063.11 / $1,167.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.75 / $2,202.00 / $2,314.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.92 / $1,175.08 / $1,315.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.50 / $3,066.10 / $3,527.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.90 / $2,737.59 / $3,633.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $2,580.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $1,222.54 / $10,503.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.52 / $1,381.13 / $1,726.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.37 / $1,098.56 / $1,493.66