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Kansas rates for HCPCS L4050

Replace molded calf lacer, for custom fabricated orthosis only

Facilitymedian $389 · 10th–90th $151–$5370%20%10th90th$389Professionalmedian $407 · 10th–90th $209–$4470%20%40%10th90th$407$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $575.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $363.08 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $263.03 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $363.08