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Kansas rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.27 / $3,183.27 / $3,183.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.01 / $2,216.19 / $3,545.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.32 / $3,951.45 / $4,330.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,093.30 / $4,093.30 / $4,093.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $6,359.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.01 / $3,411.81 / $20,802.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.72 / $2,423.96 / $5,408.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.01 / $2,112.02 / $3,048.16