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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,106.07 / $13,106.07 / $13,106.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,693.00 / $9,124.48 / $14,599.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,276.63 / $21,276.63 / $21,276.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $25,382.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,124.48 / $14,047.02 / $81,836.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,222.91 / $10,791.16 / $22,961.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,797.02 / $8,695.54 / $12,425.25