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Kansas rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,262.84 / $5,262.84 / $5,262.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.72 / $3,664.00 / $5,862.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,364.83 / $5,853.30 / $6,208.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,809.87 / $5,809.87 / $5,809.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $9,781.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.72 / $5,640.69 / $33,390.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.23 / $4,007.50 / $8,941.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.84 / $3,491.76 / $4,787.54