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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
$371.63 / $371.63 / $371.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.39 / $258.73 / $413.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.99 / $529.14 / $561.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.22 / $525.22 / $525.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $239.78 / $537.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $382.78 / $1,982.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $264.18 / $631.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.11 / $246.56 / $312.11