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Kansas rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.14 / $329.14 / $329.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.13 / $229.15 / $366.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.86 / $402.43 / $426.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.45 / $399.45 / $399.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $698.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.13 / $352.76 / $2,359.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $250.62 / $559.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.58 / $218.37 / $334.51