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Kansas rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.59 / $440.59 / $440.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.72 / $306.74 / $490.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.17 / $490.70 / $521.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.24 / $515.24 / $515.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $848.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.72 / $457.63 / $3,128.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $335.50 / $748.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $292.32 / $450.45