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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
$102.63 / $102.63 / $102.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $67.23 / $102.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.48 / $106.36 / $112.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.57 / $105.57 / $105.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $177.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $99.86 / $621.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $61.82 / $158.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $61.82 / $92.97