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Texas 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 $8,128 · 10th–90th $4,571$19,0550%10%10th90th$8,128Professionalmedian $5,012 · 10th–90th $4,467$9,1200%20%40%10th90th$5,012$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
$4,570.88 / $4,570.88 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,011.87 / $9,120.11
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $10,471.29 / $10,471.29
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
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,317.64 / $13,489.63
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,128.61 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,943.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,128.31 / $13,489.63
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $7,244.36 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,623.41 / $7,079.46
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $10,471.29 / $10,471.29