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Kansas rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.82 / $321.82 / $321.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $224.05 / $358.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.99 / $320.99 / $320.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.37 / $363.55 / $386.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.73 / $381.73 / $381.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $611.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.95 / $335.00 / $1,976.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $244.01 / $403.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.35 / $213.52 / $339.62