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Kentucky rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.47 / $43.44 / $45.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $44.07 / $48.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.82 / $91.27 / $95.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $48.69 / $54.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.45 / $127.12 / $146.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.71 / $113.50 / $150.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $106.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $436.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $58.17 / $72.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.36 / $45.53 / $61.89