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Minnesota 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 $33,884 · 10th–90th $24,547–$213,7960%20%10th90th$33,884Professionalmedian $28,840 · 10th–90th $14,125–$33,8840%20%40%10th90th$28,840$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
$24,547.09 / $24,547.09 / $24,547.09
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
$28,183.83 / $28,840.32 / $38,018.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $28,840.32 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $109,647.82 / $257,039.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33,884.42 / $38,018.94 / $42,657.95
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $107,151.93 / $213,796.21
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $45,708.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $28,840.32 / $134,896.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $12,882.50 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $16,982.44 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $15,135.61 / $39,810.72