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Kentucky 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.16 / $4,920.39 / $5,117.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,393.06 / $4,991.76 / $5,481.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,436.00 / $10,338.95 / $10,866.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,835.74 / $5,539.84 / $5,635.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,754.21 / $14,396.55 / $16,560.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,822.00 / $12,854.06 / $17,059.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,652.12 / $6,652.12 / $12,115.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.05 / $6,652.12 / $49,465.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,098.25 / $6,217.38 / $7,771.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,438.66 / $5,157.99 / $7,091.00