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Kansas rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.97 / $572.97 / $572.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.50 / $398.90 / $638.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.65 / $465.49 / $493.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.04 / $462.04 / $462.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $1,188.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.50 / $614.10 / $3,873.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $436.29 / $973.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.43 / $380.15 / $571.67