go back

Arkansas rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $8,317.64 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $18,197.01 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $8,709.64 / $12,302.69