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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
$9,549.93 / $11,481.54 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $11,481.54 / $19,054.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,589.25 / $44,668.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $12,589.25 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $91,201.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,488.17 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $11,220.18 / $16,982.44