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Nevada 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 $9,120 · 10th–90th $9,120–$28,8400%50%90th$9,120Professionalmedian $15,136 · 10th–90th $11,749–$28,8400%10%20%10th90th$15,136$200.0$1.0K$5.0K$20.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $14,454.40 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $16,218.10 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,840.32 / $50,118.72
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,840.32 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $16,982.44 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $18,620.87 / $31,622.78