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Kansas rates for HCPCS L5505

Initial Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.51 / $1,777.51 / $1,777.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.36 / $1,237.51 / $1,980.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.60 / $1,863.08 / $1,976.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.26 / $1,849.26 / $1,849.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,620.00 / $3,629.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.36 / $1,905.13 / $11,250.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.32 / $1,353.53 / $3,020.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.94 / $2,365.94 / $2,783.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.22 / $1,179.33 / $1,604.89