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Kansas rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.09 / $2,377.09 / $2,377.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.44 / $1,654.93 / $2,647.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,963.24 / $3,233.05 / $3,429.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,209.06 / $3,209.06 / $3,209.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $4,772.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.44 / $2,547.75 / $14,630.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.78 / $1,810.09 / $4,038.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.42 / $1,577.14 / $2,144.53