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Kansas rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.50 / $329.50 / $329.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $215.88 / $329.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.08 / $319.77 / $339.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.39 / $317.39 / $317.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $535.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.03 / $320.68 / $1,940.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $198.51 / $508.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $198.51 / $265.87