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Arkansas 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 $398,107 · 10th–90th $16,218–$933,2540%10%20%10th90th$398,107Professionalmedian $14,791 · 10th–90th $12,589–$22,3870%20%40%10th90th$14,791$20.0$200.0$2.0K$20.0K$200.0K

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
$16,218.10 / $16,218.10 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,791.08 / $22,387.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $11,748.98 / $17,378.01
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $30,199.52 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $13,803.84 / $19,952.62