go back

Kansas rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,633.92 / $3,633.92 / $3,633.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.51 / $2,529.94 / $4,047.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,011.37 / $4,376.60 / $4,642.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,344.13 / $4,344.13 / $4,344.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $8,015.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.51 / $3,894.83 / $25,854.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.34 / $2,767.13 / $6,174.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.34 / $2,411.02 / $3,715.30