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Kansas rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $489.78 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $426.58 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $316.23 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $467.74 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $436.52