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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
$92.23 / $92.23 / $92.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $64.20 / $102.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.23 / $101.29 / $107.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.35 / $106.35 / $106.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $199.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.04 / $98.86 / $645.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $70.23 / $156.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $61.20 / $93.18