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Kansas rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $3,630.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,801.89 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,311.31 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,398.83 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,398.83 / $3,162.28