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Missouri 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 $23,442 · 10th–90th $14,125–$58,8840%20%10th90th$23,442Professionalmedian $16,218 · 10th–90th $12,303–$27,5420%20%10th90th$16,218$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
$13,182.57 / $19,498.45 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $15,135.61 / $27,542.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $102,329.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $17,378.01 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $29,512.09
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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $23,442.29 / $64,565.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $14,454.40 / $144,543.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,442.29 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,125.38 / $20,417.38