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Kansas rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.06 / $352.06 / $352.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.24 / $245.10 / $392.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.15 / $351.15 / $351.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.48 / $392.08 / $417.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.68 / $411.68 / $411.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $692.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $377.34 / $2,270.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $268.08 / $598.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $479.40 / $564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.72 / $233.58 / $325.19