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Kansas rates for HCPCS L3455

Heel New Leather Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.39 / $40.39 / $40.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $26.47 / $40.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.99 / $39.27 / $41.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $38.97 / $38.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $71.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $38.83 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $24.34 / $62.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $24.34 / $32.00