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Pennsylvania rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Facilitymedian $1,175 · 10th–90th $457$1,7780%20%10th90th$1,175Professionalmedian $513 · 10th–90th $437$8710%20%10th90th$513$1.0$10.0$100.0$1.0K$10.0K

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
$457.09 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $512.86 / $851.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,348.96 / $1,995.26
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $512.86 / $851.14
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,445.44 / $1,995.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $977.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,380.38 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $1,047.13