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Kansas rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.87 / $504.87 / $504.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.58 / $351.49 / $562.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.33 / $629.89 / $668.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.22 / $625.22 / $625.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $978.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.58 / $541.12 / $3,169.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $384.44 / $857.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.31 / $334.97 / $466.85