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Kansas rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.96 / $2,347.96 / $2,347.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.57 / $1,634.66 / $2,615.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.91 / $2,341.91 / $2,341.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,325.60 / $3,628.39 / $3,848.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,601.48 / $3,601.48 / $3,601.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $4,687.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.57 / $2,516.53 / $14,785.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,787.91 / $3,989.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.22 / $3,123.22 / $3,674.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.54 / $1,557.81 / $2,118.58