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Kansas rates for HCPCS L5654

Addition To Lower Extremity Socket Insert Symes (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.93 / $319.93 / $319.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.19 / $222.74 / $356.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.46 / $345.75 / $367.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.04 / $363.04 / $363.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $306.16 / $306.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $306.16 / $685.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.19 / $342.89 / $2,089.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $243.60 / $543.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.51 / $212.27 / $306.01