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Kansas rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.98 / $73.98 / $73.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $48.47 / $73.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.33 / $113.94 / $121.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.24 / $108.24 / $108.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $56.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $56.56 / $135.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $72.00 / $432.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $44.57 / $114.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $44.57 / $60.62