go back

Kentucky 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
$1,232.03 / $1,613.05 / $1,677.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.17 / $1,692.97 / $1,896.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.06 / $2,542.06 / $2,542.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,109.91 / $3,389.41 / $3,562.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.29 / $2,035.69 / $2,063.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.06 / $4,779.07 / $5,789.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,219.94 / $4,236.76 / $5,592.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $4,362.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $2,117.90 / $18,285.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.31 / $2,160.14 / $2,700.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,690.94 / $2,605.67