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Kansas rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.92 / $608.92 / $608.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $423.94 / $678.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.26 / $717.11 / $760.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.78 / $711.78 / $711.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $1,012.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $652.63 / $3,241.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $432.86 / $1,034.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $696.49 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.50 / $404.01 / $517.28