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Kansas rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.35 / $476.35 / $476.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.32 / $331.64 / $530.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $475.13 / $475.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.70 / $558.25 / $611.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.29 / $578.29 / $578.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $1,002.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $510.55 / $3,120.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $362.73 / $809.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.70 / $316.05 / $466.21