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Indiana 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 $13,804–$36,3080%20%40%10th90th$29,512Professionalmedian $14,454 · 10th–90th $12,589–$24,5470%50%10th90th$14,454$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
$13,803.84 / $13,803.84 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,125.38 / $21,877.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $29,512.09 / $37,153.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $17,378.01 / $29,512.09
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $38,018.94 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $29,512.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $19,952.62 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $14,454.40 / $20,892.96