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Kansas rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.54 / $396.54 / $396.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.85 / $276.07 / $441.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.51 / $387.91 / $412.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.31 / $407.31 / $407.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $764.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.85 / $420.33 / $2,777.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $301.95 / $673.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $263.08 / $405.42