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Kansas rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.95 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.04 / $5.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $28.09 / $30.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $17.38 / $115.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $14.62 / $35.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $13.50 / $21.01