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Kansas rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.12 / $176.12 / $176.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $115.39 / $176.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.32 / $124.55 / $132.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.27 / $133.27 / $133.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $411.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $171.40 / $1,107.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $106.10 / $271.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $106.10 / $142.11