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Kansas rates for HCPCS L4040

Replace Molded Thigh Lacer, For Custom Fabricated Orthotic Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.43 / $401.43 / $401.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.11 / $263.00 / $401.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.03 / $517.19 / $548.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.36 / $513.36 / $513.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $352.55 / $352.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $352.55 / $725.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.11 / $390.68 / $2,469.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $241.84 / $619.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.94 / $241.84 / $323.89