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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

Facilitymedian $19,498 · 10th–90th $13,804–$45,7090%10%10th90th$19,498Professionalmedian $14,454 · 10th–90th $12,589–$22,3870%20%10th90th$14,454$10.0K$20.0K$50.0K$100.0K

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
$13,803.84 / $13,803.84 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,125.38 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $29,512.09 / $30,902.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $15,488.17 / $17,378.01
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,904.51 / $51,286.14
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,840.32 / $36,307.81 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $45,708.82 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $22,908.68 / $138,038.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $18,197.01 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $19,498.45 / $19,952.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $14,454.40 / $19,952.62