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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

Facilitymedian $6,918 · 10th–90th $4,898–$16,5960%10%10th90th$6,918Professionalmedian $5,129 · 10th–90th $4,467–$7,9430%20%10th90th$5,129$5.0K$10.0K$20.0K$50.0K

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
$4,897.79 / $4,897.79 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,011.87 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,471.29 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,495.41 / $5,623.41
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $13,803.84 / $18,197.01
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $12,882.50 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $16,595.87 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $8,128.31 / $48,977.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,456.54 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,918.31 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,128.61 / $7,079.46