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Kansas rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.71 / $1,377.71 / $1,377.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.58 / $959.17 / $1,534.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.18 / $1,129.43 / $1,197.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.05 / $1,121.05 / $1,121.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $2,321.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.58 / $1,476.62 / $7,109.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.04 / $979.39 / $2,340.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.38 / $914.08 / $1,170.38