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Illinois 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 $31,623 · 10th–90th $14,454$147,9110%20%10th90th$31,623Professionalmedian $16,982 · 10th–90th $12,589$29,5120%20%10th90th$16,982$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
$14,454.40 / $14,454.40 / $31,622.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,791.08 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $56,234.13 / $199,526.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $33,884.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $31,622.78 / $39,810.72
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $25,118.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $23,442.29 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $14,454.40 / $23,988.33