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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
$1,638.73 / $1,638.73 / $1,638.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.14 / $1,140.89 / $1,825.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.74 / $2,021.74 / $2,215.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.32 / $2,094.32 / $2,094.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $3,173.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $1,756.39 / $10,198.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,247.85 / $2,784.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,217.37 / $2,608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.84 / $1,087.26 / $1,504.11