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Kansas rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.45 / $115.45 / $115.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $80.38 / $128.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.98 / $204.19 / $217.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.28 / $184.28 / $184.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $222.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.45 / $122.38 / $799.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $87.91 / $196.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $76.59 / $118.04