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Kentucky 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
$12,126.25 / $13,866.63 / $14,421.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,380.52 / $14,067.73 / $15,446.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,852.92 / $21,852.92 / $21,852.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,137.91 / $29,137.22 / $30,623.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,628.09 / $15,571.41 / $17,411.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,852.92 / $40,572.25 / $46,671.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,680.36 / $36,225.23 / $48,076.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $34,145.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $138,969.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,367.90 / $17,521.83 / $21,902.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,690.83 / $14,536.25 / $19,793.02