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Georgia 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 $29,512 · 10th–90th $12,023$109,6480%10%20%10th90th$29,512Professionalmedian $17,378 · 10th–90th $12,023$28,1840%20%10th90th$17,378$20.0$100.0$500.0$2.0K$10.0K$50.0K$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
$12,022.64 / $12,022.64 / $35,481.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $14,454.40 / $24,547.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $70,794.58 / $109,647.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $23,988.33 / $35,481.34
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $24,547.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $24,547.09
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 / $35,481.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,892.96 / $29,512.09 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $19,498.45 / $23,988.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $14,454.40 / $28,183.83