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Kansas rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.04 / $84.04 / $84.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $55.06 / $84.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.53 / $104.22 / $110.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.46 / $103.46 / $103.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $138.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $81.80 / $510.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $50.63 / $129.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.76 / $50.63 / $69.77