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Kansas rates for HCPCS L5814

Addition Endoskeletal Knee-Shin System Polycentric Hydraulic Swing Phase Control Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,354.70 / $3,354.70 / $3,354.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.96 / $2,335.55 / $3,736.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,359.94 / $3,665.87 / $3,888.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.67 / $3,638.67 / $3,638.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $6,496.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $3,595.55 / $20,912.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,554.50 / $5,699.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.84 / $2,225.75 / $3,079.07