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Kansas rates for HCPCS L5795

Addition Exoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.01 / $969.01 / $969.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.05 / $674.62 / $1,079.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.04 / $1,048.55 / $1,112.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.77 / $1,040.77 / $1,040.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,867.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.05 / $1,027.15 / $6,807.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $737.87 / $1,646.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,460.51 / $1,718.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $642.91 / $990.71