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Kansas rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.27 / $79.27 / $79.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $51.94 / $79.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $71.80 / $71.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.98 / $53.66 / $57.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.42 / $57.42 / $57.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $142.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $77.15 / $501.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $47.76 / $122.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $47.76 / $66.78