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Alaska 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

Facilitymedian $12,023 · 10th–90th $6,457–$22,3870%20%40%10th90th$12,023Professionalmedian $14,791 · 10th–90th $10,965–$26,9150%20%10th90th$14,791$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,125.38 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $23,988.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $16,218.10 / $21,379.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $21,379.62 / $72,443.60
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $21,379.62 / $22,387.21
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $21,379.62 / $22,387.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $22,387.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $14,454.40 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,964.78 / $47,863.01