go back

Kansas rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $457.09 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $676.08 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $724.44