go back

Kansas rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $71.31 / $78.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $51.49 / $78.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $71.18 / $102.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.21 / $84.21 / $84.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $58.00 / $130.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $76.48 / $472.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $47.35 / $120.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $47.35 / $63.41