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Kansas rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.27 / $1,524.27 / $1,524.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.11 / $1,061.20 / $1,697.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,132.46 / $3,264.68 / $3,472.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.45 / $3,101.45 / $3,101.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $2,952.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.11 / $1,633.69 / $9,502.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $1,160.68 / $2,589.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.21 / $1,011.31 / $1,399.02