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Kansas rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.28 / $1,599.28 / $1,599.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.02 / $1,047.80 / $1,599.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.90 / $1,380.07 / $1,463.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.83 / $1,369.83 / $1,369.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,206.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $3,731.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.02 / $1,556.47 / $10,169.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.34 / $963.51 / $2,467.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.34 / $963.51 / $1,347.31