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Kansas rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,879.28 / $15,879.28 / $15,879.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,770.92 / $11,055.19 / $17,688.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,018.08 / $17,476.50 / $18,537.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,346.84 / $17,346.84 / $17,346.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,752.32 / $30,885.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,364.39 / $17,019.34 / $98,186.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,259.28 / $12,696.19 / $26,979.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,023.66 / $10,535.49 / $14,468.03