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Kansas rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $21.95 / $21.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $15.28 / $24.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $22.33 / $23.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $22.17 / $22.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $23.52 / $134.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $16.71 / $37.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $14.57 / $19.78