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Hawaii 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 $16,982 · 10th–90th $16,218–$22,9090%50%10th90th$16,982Professionalmedian $17,378 · 10th–90th $12,303–$30,9030%20%10th90th$17,378$10.0K$20.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $15,488.17 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $26,915.35 / $36,307.81
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $30,902.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $29,512.09 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $17,378.01 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $19,952.62 / $31,622.78