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Idaho 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 $26,915 · 10th–90th $15,849–$35,4810%20%40%10th90th$26,915Professionalmedian $20,417 · 10th–90th $12,589–$31,6230%10%20%10th90th$20,417$50.0$200.0$1.0K$5.0K$20.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $17,378.01 / $24,547.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $26,915.35 / $45,708.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,199.52 / $31,622.78 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $23,988.33 / $31,622.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $27,542.29 / $28,840.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $27,542.29 / $27,542.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $30,199.52
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $28,840.32 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $19,498.45 / $19,952.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,882.50 / $19,952.62