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Kansas rates for HCPCS L5964

Addition Endoskeletal System Above Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.14 / $1,038.14 / $1,038.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.03 / $722.76 / $1,156.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.82 / $427.18 / $454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.54 / $448.54 / $448.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $1,961.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $1,112.66 / $5,917.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $751.06 / $1,763.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.18 / $688.78 / $889.39