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Kansas rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.13 / $1,874.13 / $1,874.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.52 / $1,304.78 / $2,087.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,563.67 / $2,797.08 / $2,966.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.33 / $2,776.33 / $2,776.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $3,475.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.52 / $2,008.71 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,427.11 / $3,184.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.96 / $1,243.45 / $1,750.88