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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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $22.39 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $20.42 / $66.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.49 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.45 / $19.95