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Kansas rates for HCPCS L5822

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.87 / $1,536.87 / $1,536.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.29 / $1,069.98 / $1,711.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.33 / $974.03 / $1,036.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.21 / $1,042.21 / $1,042.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $3,064.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.29 / $1,647.21 / $10,228.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,170.29 / $2,611.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1,536.34 / $2,043.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,019.68 / $1,571.29