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Kansas rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,467.37 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,137.96 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,454.71 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $2,187.76