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Kansas rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.00 / $2,752.00 / $2,752.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.25 / $1,915.95 / $3,065.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.71 / $2,068.12 / $2,199.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.89 / $2,212.89 / $2,212.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $5,562.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.25 / $2,949.59 / $17,674.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $2,095.58 / $4,675.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2,417.83 / $2,927.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.26 / $1,825.88 / $2,545.08