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West Virginia 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 $13,804 · 10th–90th $13,804–$38,9050%50%90th$13,804Professionalmedian $13,804 · 10th–90th $12,589–$20,4170%20%40%10th90th$13,804$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
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $13,803.84 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $38,904.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $45,708.82 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $138,038.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $18,197.01 / $30,199.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $17,378.01 / $23,442.29