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Nationwide rates for HCPCS L5858

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,318.27 / $11,341.15 / $14,237.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.87 / $11,549.30 / $16,789.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,898.50 / $23,442.42 / $43,797.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,128.12 / $12,489.26 / $18,364.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,513.81 / $14,513.81 / $14,513.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,595.08 / $13,565.29 / $15,472.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,337.33 / $11,253.89 / $15,942.11