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Kansas rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.05 / $229.05 / $229.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $159.47 / $255.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.17 / $293.68 / $311.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.50 / $291.50 / $291.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $405.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $245.49 / $1,528.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $174.42 / $389.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.31 / $151.97 / $215.02