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Kansas rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.40 / $364.40 / $364.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $238.74 / $364.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.93 / $169.40 / $180.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.69 / $186.69 / $186.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $681.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $354.65 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $219.54 / $562.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $196.25 / $352.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $209.75 / $294.02