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Kansas rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,041.48 / $3,041.48 / $3,041.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.63 / $2,117.48 / $3,387.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,033.65 / $3,033.65 / $3,033.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,092.31 / $3,255.06 / $3,462.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,417.81 / $3,417.81 / $3,417.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $5,366.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.63 / $3,259.84 / $17,077.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $2,196.23 / $5,167.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.29 / $2,017.94 / $2,600.71