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Kansas rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.82 / $2,350.82 / $2,350.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.03 / $1,636.65 / $2,618.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.64 / $1,642.73 / $1,742.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.54 / $1,630.54 / $1,630.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $1,819.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,819.89 / $5,049.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.03 / $2,519.59 / $15,534.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,790.07 / $3,994.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.80 / $1,559.71 / $2,239.04