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Kansas rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,614.20 / $3,614.20 / $3,614.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.75 / $2,516.21 / $4,025.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,604.91 / $3,604.91 / $3,604.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,394.06 / $4,579.53 / $4,871.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,350.55 / $4,350.55 / $4,350.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $2,886.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,886.72 / $6,999.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.75 / $3,873.69 / $22,493.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.14 / $2,752.11 / $6,140.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,890.35 / $4,890.35 / $5,753.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.62 / $2,397.94 / $3,317.27