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Kansas rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $215.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $149.68 / $239.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $214.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.63 / $378.56 / $402.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.65 / $341.65 / $341.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.64 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $170.64 / $395.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $223.31 / $1,269.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $152.83 / $365.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.10 / $142.63 / $215.96