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Kansas rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $363.08 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $251.19 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $269.15 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $257.04