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Kansas rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.36 / $1,511.36 / $1,511.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.47 / $990.20 / $1,511.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.74 / $1,958.15 / $2,076.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.62 / $1,943.62 / $1,943.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $3,126.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.47 / $1,470.90 / $9,370.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.24 / $910.54 / $2,331.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.59 / $910.54 / $1,219.50