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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
$2,285.71 / $2,285.71 / $2,285.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.83 / $1,591.33 / $2,546.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,160.08 / $3,447.80 / $3,657.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,422.22 / $3,422.22 / $3,422.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $4,216.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $2,449.82 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,740.50 / $3,883.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.01 / $1,516.52 / $2,195.59