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Kansas rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,819.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,513.56 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,513.56