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Nationwide rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Facilitymedian $7,762 · 10th–90th $4,467$22,9090%10%10th90th$7,762Professionalmedian $5,623 · 10th–90th $4,467$10,2330%20%10th90th$5,623$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$4,466.84 / $5,248.07 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,248.07 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,754.40 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,623.41 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $42,657.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $14,791.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,079.46 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,128.61 / $9,120.11