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Kansas rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,810.22 / $3,810.22 / $3,810.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.11 / $2,652.68 / $4,244.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,315.03 / $4,707.92 / $4,993.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,672.97 / $4,672.97 / $4,672.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $3,294.10 / $7,379.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.11 / $4,083.77 / $23,712.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.96 / $2,708.62 / $6,473.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.32 / $2,527.98 / $3,497.15