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Kansas rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,692.75 / $2,692.75 / $2,692.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.36 / $1,874.70 / $2,999.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.25 / $2,976.66 / $3,157.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,954.57 / $2,954.57 / $2,954.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,902.78 / $4,262.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.36 / $2,886.07 / $15,444.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.30 / $1,965.38 / $4,575.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.04 / $1,786.57 / $2,327.36