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Kansas rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $37 · 10th–90th $15–$550%20%10th90th$37Professionalmedian $41 · 10th–90th $22–$430%50%10th90th$41$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $38.90 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.92 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $43.65 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $26.92 / $36.31