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Kansas rates for HCPCS L3640

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.93 / $42.93 / $42.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $28.13 / $42.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.07 / $37.17 / $39.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $36.90 / $36.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $75.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $41.79 / $242.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $25.87 / $66.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $24.48 / $41.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $25.00 / $34.64