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Nationwide rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $21,878 · 10th–90th $12,303–$63,0960%10%20%10th90th$21,878Professionalmedian $16,218 · 10th–90th $12,303–$28,8400%20%10th90th$16,218$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$12,589.25 / $15,135.61 / $29,512.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,791.08 / $24,547.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $58,884.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $18,197.01 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $114,815.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $41,686.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $19,952.62 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,454.40 / $25,118.86

See more rates by state

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