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Kansas rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.75 / $99.75 / $99.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $65.36 / $99.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.05 / $114.63 / $121.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.77 / $113.77 / $113.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $175.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $97.08 / $563.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $60.10 / $153.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $60.10 / $80.48