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Kansas rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.39 / $1,518.39 / $1,518.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.48 / $1,057.10 / $1,691.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.25 / $1,345.55 / $1,427.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.56 / $1,335.56 / $1,335.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $2,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.48 / $1,627.40 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $1,079.40 / $2,579.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.61 / $1,007.41 / $1,349.25