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Kansas rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.31 / $1,718.31 / $1,718.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.00 / $1,196.29 / $1,914.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.37 / $1,481.44 / $1,575.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.14 / $1,585.14 / $1,585.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $4,288.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,841.67 / $11,959.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,308.44 / $2,919.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,140.05 / $1,756.79