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Maryland 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 $19,498 · 10th–90th $16,218–$19,9530%20%10th90th$19,498Professionalmedian $15,136 · 10th–90th $12,303–$24,5470%20%10th90th$15,136$10.0K$20.0K$50.0K$100.0K

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
$12,589.25 / $15,135.61 / $24,547.09
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $28,840.32 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $19,498.45 / $19,952.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $14,791.08 / $22,387.21
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $24,547.09