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Kansas rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,498.03 / $6,498.03 / $6,498.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.65 / $4,523.95 / $7,238.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,481.32 / $6,481.32 / $6,481.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,041.99 / $7,435.51 / $8,149.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,702.42 / $7,702.42 / $7,702.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $12,585.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.65 / $6,964.57 / $40,507.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.25 / $4,948.06 / $11,040.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,874.19 / $4,311.28 / $5,964.13