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Kansas rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.24 / $278.24 / $278.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $193.71 / $309.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $287.58 / $305.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.97 / $301.97 / $301.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $624.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $298.22 / $1,867.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $211.87 / $472.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $184.60 / $275.14