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Kansas rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.86 / $1,011.86 / $1,011.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.41 / $704.46 / $1,127.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.97 / $1,193.58 / $1,266.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.72 / $1,184.72 / $1,184.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $1,950.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.41 / $1,050.98 / $7,424.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $770.50 / $1,719.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $671.35 / $1,034.53