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Kansas rates for HCPCS L5613

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,951.21 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,511.89 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,905.46 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $2,398.83