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Kansas rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $44.67 / $47.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $44.34 / $44.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $117.89 / $117.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $28.77 / $77.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $28.77 / $28.77