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Kansas rates for HCPCS L5857

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

Facilitymedian $8,318 · 10th–90th $2,951–$10,4710%20%40%10th90th$8,318Professionalmedian $8,511 · 10th–90th $4,467–$8,9130%50%10th90th$8,511$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$8,511.38 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,370.32 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,128.31 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $7,079.46 / $24,547.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,128.61 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,317.64 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,128.61 / $7,079.46