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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
$3,388.44 / $3,388.44 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $3,019.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,630.27 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,235.94 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,818.38 / $9,120.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,995.26 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,235.94 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $2,691.53