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Kansas rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $30.90 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.95 / $67.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $23.44 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $20.42