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Kansas rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $74.20 / $83.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $54.63 / $83.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.47 / $75.53 / $102.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.42 / $111.42 / $111.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $68.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $168.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $81.16 / $535.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $50.24 / $128.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $50.24 / $67.29