go back

Kansas rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.21 / $439.21 / $439.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.13 / $305.77 / $489.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.04 / $448.46 / $475.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.13 / $445.13 / $445.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $1,128.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.13 / $470.76 / $3,083.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $334.45 / $746.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $291.41 / $449.05