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Kansas rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.28 / $168.28 / $168.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.08 / $117.16 / $187.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.86 / $149.31 / $158.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.21 / $148.21 / $148.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $356.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.08 / $180.36 / $1,197.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $128.13 / $285.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $111.65 / $172.04