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Kansas rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $676.08 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $562.34 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $588.84