go back

Kansas rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.35 / $379.35 / $379.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $264.10 / $422.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.48 / $422.76 / $448.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.62 / $419.62 / $419.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $752.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $406.59 / $2,344.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $288.87 / $644.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.79 / $251.69 / $342.28