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Kansas rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.76 / $666.76 / $666.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.95 / $464.20 / $742.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.83 / $909.75 / $964.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.00 / $903.00 / $903.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $1,304.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $714.64 / $4,473.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $507.73 / $1,132.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.92 / $442.38 / $663.45