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Kansas rates for HCPCS L5638

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

Facilitymedian $447 · 10th–90th $186–$6460%50%10th90th$447Professionalmedian $490 · 10th–90th $263–$4900%50%10th$490$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $446.68 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $426.58 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $478.63 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $288.40 / $446.68