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Rhode Island 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 $52,481 · 10th–90th $16,982–$66,0690%10%20%10th90th$52,481Professionalmedian $14,454 · 10th–90th $12,303–$25,1190%20%10th90th$14,454$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
$12,302.69 / $14,454.40 / $43,651.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $56,234.13 / $66,069.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $15,488.17 / $30,199.52
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 / $16,218.10
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
$12,882.50 / $16,982.44 / $23,988.33