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Kansas rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.69 / $1,404.69 / $1,404.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.66 / $977.95 / $1,564.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.05 / $1,343.14 / $1,424.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.17 / $1,333.17 / $1,333.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $1,167.30 / $3,504.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.66 / $1,505.55 / $9,793.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $1,069.63 / $2,386.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $931.98 / $1,436.15