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Kansas rates for HCPCS L5855

Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $346.74 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $245.47 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $398.11 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $331.13