go back

Kansas rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.49 / $1,804.49 / $1,804.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.87 / $1,256.29 / $2,010.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.42 / $1,869.92 / $1,989.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.42 / $1,963.42 / $1,963.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $3,495.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $1,934.05 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.54 / $1,374.06 / $3,065.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.15 / $1,197.23 / $1,656.24