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Kansas rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.08 / $1,584.08 / $1,584.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.90 / $1,102.83 / $1,764.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.64 / $1,417.98 / $1,504.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.46 / $1,407.46 / $1,407.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $2,761.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.90 / $1,697.81 / $9,329.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $1,153.27 / $2,691.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.66 / $1,051.00 / $1,407.61