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Kansas rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,663.73 / $3,663.73 / $3,663.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.57 / $2,550.69 / $4,081.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,725.71 / $4,064.95 / $4,311.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,034.78 / $4,034.78 / $4,034.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $8,341.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.57 / $3,926.77 / $24,371.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.59 / $2,789.82 / $6,224.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.53 / $2,430.79 / $3,510.16