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Kansas rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.03 / $64.03 / $64.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $44.58 / $71.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.68 / $108.06 / $114.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $102.66 / $102.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $106.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $68.62 / $392.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $48.75 / $108.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $42.48 / $56.89