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Arizona 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 $17,783 · 10th–90th $6,457–$42,6580%10%10th90th$17,783Professionalmedian $11,482 · 10th–90th $9,550–$19,9530%20%10th90th$11,482$20.0$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
$9,549.93 / $11,481.54 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $23,988.33 / $44,668.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $21,877.62 / $41,686.94
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 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,791.08 / $45,708.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,000.00 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $17,782.79 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $10,000.00 / $15,135.61