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Kansas rates for HCPCS L5020

Partial Foot Molded Socket Tibial Tubercle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.54 / $1,788.54 / $1,788.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.08 / $1,245.18 / $1,992.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.58 / $1,992.19 / $2,119.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.80 / $2,091.80 / $2,091.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $4,388.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.08 / $1,916.95 / $12,494.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,361.92 / $3,038.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,186.65 / $1,828.59