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Kansas rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.55 / $598.55 / $598.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.28 / $416.72 / $666.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $597.02 / $597.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.55 / $753.42 / $825.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.47 / $780.47 / $780.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $865.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $616.52 / $3,301.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $425.50 / $1,016.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.75 / $397.13 / $508.48