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Kentucky 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
$8,381.10 / $8,518.36 / $8,716.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,629.61 / $8,518.36 / $9,336.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,962.70 / $17,610.77 / $18,508.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,672.80 / $5,672.80 / $5,672.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,208.08 / $24,522.15 / $28,208.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,730.23 / $21,894.78 / $29,057.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $20,637.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $9,812.54 / $84,284.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $15,420.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,857.21 / $8,785.82 / $12,169.09