go back

Kansas rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.41 / $600.41 / $600.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.91 / $418.01 / $668.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.87 / $598.87 / $598.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.27 / $528.70 / $562.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.71 / $565.71 / $565.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $872.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.91 / $618.42 / $3,201.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $426.83 / $1,020.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.57 / $398.36 / $510.07