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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
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $707.95 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $562.34 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $537.03