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Kansas rates for HCPCS L1852

Knee Orthosis (Ko) Double Upright Thigh And Calfwith Adjustable Flexion And Extension Joint (Unicentric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.54 / $580.54 / $580.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.36 / $418.55 / $586.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.09 / $801.45 / $801.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.48 / $982.26 / $1,044.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.15 / $933.15 / $933.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.80 / $647.80 / $647.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.90 / $472.90 / $892.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.36 / $550.27 / $3,006.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.26 / $459.39 / $1,067.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.26 / $459.39 / $697.01