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Kansas rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.01 / $90.01 / $90.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $62.67 / $100.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.47 / $100.89 / $107.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.14 / $100.14 / $100.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $218.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $96.46 / $629.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $68.53 / $152.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $156.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $59.72 / $90.29