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Kansas rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.66 / $104.66 / $104.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $72.86 / $116.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.90 / $116.64 / $123.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.77 / $115.77 / $115.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $208.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $112.18 / $682.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $79.70 / $177.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $94.11 / $139.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.30 / $69.44 / $96.25