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Arkansas 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 $398,107 · 10th–90th $12,589–$891,2510%10%20%10th90th$398,107Professionalmedian $11,482 · 10th–90th $9,550–$17,3780%20%10th90th$11,482$20.0$200.0$2.0K$20.0K$200.0K

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
$12,589.25 / $12,589.25 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,715.19 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $22,908.68 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,715.19 / $15,135.61