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Kansas rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $102.33 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $89.13 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $66.07 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $97.72 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $93.33