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Kansas rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.42 / $16.42 / $16.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $10.76 / $16.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.56 / $83.97 / $89.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $15.98 / $96.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.89 / $25.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $9.71 / $15.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.89 / $13.25