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Kansas rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.83 / $1,297.83 / $1,297.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.20 / $903.56 / $1,445.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.10 / $1,851.62 / $1,964.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.88 / $1,837.88 / $1,837.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $1,232.20 / $2,628.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.20 / $1,391.01 / $7,733.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.82 / $988.26 / $2,205.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $861.08 / $1,153.25