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Kansas rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.85 / $29.85 / $29.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $19.55 / $29.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $24.16 / $27.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.60 / $30.10 / $32.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.61 / $31.61 / $31.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $65.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $29.06 / $196.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $17.98 / $46.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $17.98 / $25.14