go back

Kansas rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.33 / $2,830.33 / $2,830.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.64 / $1,970.48 / $3,152.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,435.57 / $3,748.39 / $3,975.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,720.57 / $3,720.57 / $3,720.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $5,154.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $3,033.51 / $17,754.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $2,155.19 / $4,808.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,877.84 / $2,605.67