go back

New Mexico 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 $19,953 · 10th–90th $8,318–$30,2000%20%10th90th$19,953Professionalmedian $16,218 · 10th–90th $12,882–$25,7040%20%40%10th90th$16,218$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
$16,218.10 / $16,218.10 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $15,488.17 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $23,442.29 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $35,481.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $28,840.32 / $43,651.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $20,892.96 / $28,840.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $19,952.62 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,882.50 / $19,498.45