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Kansas rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,630.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,162.28 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,073.80 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,090.30 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,344.23 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,467.37 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,019.95