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Colorado 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 $25,704 · 10th–90th $14,791–$36,3080%20%40%10th90th$25,704Professionalmedian $14,791 · 10th–90th $12,023–$25,7040%20%40%10th90th$14,791$20.0$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
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $25,703.96 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,791.08 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $33,884.42 / $64,565.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $17,378.01 / $20,417.38
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 / $30,902.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $30,199.52 / $60,255.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,840.32 / $30,199.52 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,882.50 / $30,199.52