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Kansas rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Facilitymedian $155 · 10th–90th $72$2340%20%10th90th$155Professionalmedian $170 · 10th–90th $102$1780%50%10th90th$170$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $147.91 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $154.88 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $112.20 / $169.82