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Kansas rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.29 / $113.29 / $113.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $78.88 / $126.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.42 / $355.83 / $378.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.04 / $338.04 / $338.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $98.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $98.15 / $219.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.56 / $121.43 / $705.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $80.54 / $192.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.11 / $75.17 / $121.32