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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,679.16 / $21,679.16 / $21,679.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,350.18 / $15,093.09 / $24,148.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,819.53 / $24,020.56 / $25,551.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,221.59 / $25,221.59 / $25,221.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $41,996.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,350.18 / $22,329.53 / $134,932.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,622.87 / $15,411.37 / $36,833.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $29,383.10 / $34,568.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,589.04 / $14,383.57 / $19,931.41