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Kansas 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)

Facilitymedian $14,125 · 10th–90th $10,471–$21,3800%20%40%10th90th$14,125Professionalmedian $14,454 · 10th–90th $7,586–$21,3800%20%40%10th90th$14,454$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
$14,454.40 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $9,120.11 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $20,417.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $11,481.54 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $8,709.64 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $14,125.38 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $8,709.64 / $13,489.63