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Washington 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 $28,840 · 10th–90th $18,197–$69,1830%20%10th90th$28,840Professionalmedian $20,417 · 10th–90th $12,589–$41,6870%20%10th90th$20,417$1.0$10.0$100.0$1.0K$10.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $43,651.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $15,488.17 / $25,703.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $27,542.29 / $27,542.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $31,622.78
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $38,904.51 / $79,432.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $33,884.42 / $60,255.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $27,542.29 / $30,199.52
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $28,183.83 / $28,840.32
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $41,686.94 / $56,234.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $27,542.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $27,542.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $42,657.95 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $17,782.79 / $24,547.09
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $24,547.09 / $43,651.58