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Kansas rates for HCPCS L5858

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

Facilitymedian $17,378 · 10th–90th $6,457–$22,9090%50%10th90th$17,378Professionalmedian $18,621 · 10th–90th $9,772–$19,0550%50%10th90th$18,621$20.0$100.0$500.0$2.0K$10.0K$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
$18,620.87 / $18,620.87 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $18,620.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $17,378.01 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $15,488.17 / $53,703.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,220.18 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $18,197.01 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,220.18 / $15,488.17