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Kansas rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $23,442 · 10th–90th $8,318–$29,5120%50%10th90th$23,442Professionalmedian $23,988 · 10th–90th $12,589–$27,5420%20%40%10th90th$23,988$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$23,988.33 / $23,988.33 / $23,988.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,791.08 / $23,988.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $23,988.33 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,952.62 / $69,183.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $14,454.40 / $144,543.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $23,442.29 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $14,454.40 / $19,952.62