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Kansas rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.98 / $1,562.98 / $1,562.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.91 / $1,024.02 / $1,562.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.66 / $1,579.64 / $1,680.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.62 / $1,658.62 / $1,658.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $2,735.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.91 / $1,521.16 / $10,013.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $941.64 / $2,411.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $941.64 / $1,261.16