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Kansas rates for HCPCS L5975

All lower extremity prostheses, combination single axis ankle and flexible keel foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.74 / $418.74 / $418.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.02 / $291.52 / $466.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.79 / $679.79 / $679.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $362.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $810.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.02 / $448.80 / $2,615.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $318.86 / $711.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.22 / $277.82 / $384.36