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Kansas rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.33 / $903.33 / $903.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.52 / $591.84 / $903.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.03 / $913.24 / $968.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.47 / $906.47 / $906.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $751.98 / $751.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $1,684.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.52 / $879.17 / $5,145.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $544.23 / $1,393.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $510.46 / $872.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.83 / $544.23 / $728.90