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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
$1,995.26 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,698.24 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $1,659.59