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Kansas rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $104.71 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $89.13 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $85.11