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Kansas rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.01 / $913.01 / $913.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.30 / $635.64 / $1,017.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.82 / $1,301.42 / $1,380.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.77 / $1,291.77 / $1,291.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $957.73 / $1,956.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.30 / $978.56 / $5,705.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $695.22 / $1,551.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.84 / $605.76 / $840.91