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Kansas rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.71 / $115.71 / $115.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $80.56 / $128.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.11 / $115.42 / $115.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.95 / $77.84 / $82.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $83.29 / $83.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $100.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $100.03 / $224.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.49 / $122.65 / $720.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $88.11 / $196.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $76.77 / $106.19