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Minnesota 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 $12,023 · 10th–90th $8,710$75,8580%20%10th90th$12,023Professionalmedian $10,233 · 10th–90th $5,012$12,0230%50%10th90th$10,233$10.0$50.0$200.0$1.0K$5.0K$20.0K$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
$8,709.64 / $8,709.64 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,165.95 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,232.93 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,232.93 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $38,904.51 / $91,201.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $13,489.63 / $15,135.61
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $38,018.94 / $75,857.76
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $10,232.93 / $47,863.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,570.88 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $6,025.60 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $14,125.38