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Kansas rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $204.17 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $199.53 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $218.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $190.55