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Kansas rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.89 / $244.89 / $244.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.90 / $170.49 / $272.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.07 / $272.70 / $290.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.33 / $286.33 / $286.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $472.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $259.58 / $1,717.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $186.48 / $416.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $162.47 / $250.38