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Kansas rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,405.17 / $4,405.17 / $4,405.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.90 / $3,066.89 / $4,907.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,225.83 / $4,610.59 / $4,890.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,576.38 / $4,576.38 / $4,576.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $8,350.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.89 / $4,721.43 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $3,518.60 / $7,477.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.48 / $2,922.71 / $4,270.84