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Kansas rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.88 / $1,666.88 / $1,666.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.83 / $1,160.49 / $1,856.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.33 / $2,106.83 / $2,309.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.46 / $2,182.46 / $2,182.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $2,802.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,786.54 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $1,269.28 / $2,832.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.29 / $1,105.93 / $1,486.65