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Kansas rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $21.66 / $21.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $14.89 / $21.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.35 / $30.93 / $32.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $30.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $44.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $20.82 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.24 / $33.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.24 / $20.53