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Kansas rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Facilitymedian $37 · 10th–90th $15–$520%20%10th90th$37Professionalmedian $40 · 10th–90th $22–$430%20%40%10th90th$40$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $36.31 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $42.66 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $36.31