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Kansas rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.95 / $5,209.95 / $5,209.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.50 / $3,627.18 / $5,803.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.07 / $7,433.39 / $7,884.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,378.24 / $7,378.24 / $7,378.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $8,390.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.50 / $5,584.01 / $27,462.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $3,634.10 / $8,851.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,304.44 / $3,456.67 / $4,425.95