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Alaska 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 $16,218 · 10th–90th $8,318–$28,8400%20%40%10th90th$16,218Professionalmedian $19,055 · 10th–90th $14,125–$38,9050%20%10th90th$19,055$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
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,197.01 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $31,622.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $20,892.96 / $27,542.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $27,542.29 / $87,096.36
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $27,542.29 / $28,840.32
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $27,542.29 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $28,840.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $16,218.10 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $14,125.38 / $63,095.73