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Kansas rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.25 / $510.25 / $510.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.02 / $334.30 / $510.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.04 / $448.46 / $475.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.13 / $445.13 / $445.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $836.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.02 / $496.60 / $2,938.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $307.41 / $787.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $294.04 / $492.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $297.16 / $411.73