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Kansas rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.03 / $108.03 / $108.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $70.78 / $108.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.80 / $109.98 / $116.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.17 / $109.17 / $109.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $147.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $104.90 / $538.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $63.05 / $166.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $60.17 / $84.59