go back

Indiana 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 $10,471 · 10th–90th $4,898–$12,8820%20%40%10th90th$10,471Professionalmedian $5,129 · 10th–90th $4,571–$8,5110%20%40%10th90th$5,129$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
$4,897.79 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,128.61 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $10,471.29 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,623.41 / $10,232.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $13,489.63 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,079.46 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,128.61 / $7,413.10