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Virginia 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 $10,233 · 10th–90th $5,248$10,9650%20%40%10th90th$10,233Professionalmedian $5,495 · 10th–90th $4,571$9,3330%20%40%10th90th$5,495$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
$5,248.07 / $5,370.32 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,248.07 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $11,748.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $10,232.93 / $14,454.40
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,760.83 / $10,000.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $7,413.10 / $12,022.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,309.57 / $6,606.93
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,317.64 / $14,125.38
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,317.64 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,918.31 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,011.87 / $7,943.28