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Kansas rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.61 / $558.61 / $558.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.06 / $365.99 / $558.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.94 / $505.94 / $505.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.73 / $542.87 / $577.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.51 / $598.51 / $598.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $982.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $543.66 / $3,157.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $336.55 / $861.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $325.33 / $450.75