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California 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 $5,370 · 10th–90th $4,169–$24,5470%20%10th90th$5,370Professionalmedian $5,623 · 10th–90th $4,467–$38,0190%20%10th90th$5,623$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5,495.41 / $5,495.41 / $43,651.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $38,018.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,370.32 / $22,908.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,623.41 / $15,135.61
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $14,791.08 / $23,442.29
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $18,620.87 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $6,606.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,760.83 / $12,302.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,120.11 / $15,848.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $48,977.88 / $48,977.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $75,857.76 / $75,857.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $9,332.54 / $12,882.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $9,772.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $19,054.61
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,918.31 / $9,120.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $6,165.95 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,495.41 / $10,964.78