go back

Florida 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 $14,125 · 10th–90th $12,303–$23,4420%50%10th90th$14,125Professionalmedian $14,791 · 10th–90th $12,303–$21,8780%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
$12,302.69 / $13,489.63 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,791.08 / $21,877.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $29,512.09
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $27,542.29 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $17,782.79 / $29,512.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $19,498.45 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,454.40 / $19,498.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $29,512.09