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Kansas rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.48 / $393.48 / $393.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.53 / $273.94 / $438.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.07 / $427.44 / $454.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.81 / $448.81 / $448.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $758.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $408.69 / $2,725.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $299.62 / $668.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $261.06 / $402.28