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Kentucky 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 $15,136 · 10th–90th $10,715–$35,4810%10%10th90th$15,136Professionalmedian $11,220 · 10th–90th $9,772–$17,7830%20%10th90th$11,220$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
$10,715.19 / $10,715.19 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $22,908.68 / $23,988.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,022.64 / $12,589.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $30,199.52 / $39,810.72
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $28,183.83 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $35,481.34 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $107,151.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $14,125.38 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,220.18 / $15,488.17