go back

Kansas rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.48 / $3,578.48 / $3,578.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.38 / $2,491.35 / $3,986.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,643.81 / $3,835.59 / $4,080.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,027.37 / $4,027.37 / $4,027.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $2,550.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,550.04 / $6,657.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.38 / $3,835.41 / $21,140.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.30 / $2,724.91 / $6,079.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,625.10 / $4,625.10 / $5,441.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.82 / $2,374.23 / $3,229.01