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Kansas rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.01 / $231.01 / $231.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.85 / $151.35 / $231.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $233.65 / $247.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.92 / $231.92 / $231.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $174.32 / $404.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.85 / $224.83 / $1,530.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $139.18 / $356.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $139.18 / $203.74