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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
$440.03 / $440.03 / $440.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.31 / $306.35 / $490.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.56 / $493.76 / $523.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.10 / $490.10 / $490.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $493.58 / $1,105.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.31 / $471.63 / $3,080.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $335.08 / $747.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.55 / $648.55 / $763.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.63 / $291.95 / $439.93