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Kansas rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$339

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $282 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$219 to $339
FacilityA hospital or hospital-owned outpatient department$282$263 to $295

How much rates vary

Facilitymedian $282 · 10th to 90th $112 to $363Professionalmedian $339 · 10th to 90th $170 to $339
$200$500$1K$2Kfacility $282professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$263.03
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$269.15

Where Kansas sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kansas· 7th of 51

$339

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.