go back

California 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 $11,749 · 10th–90th $9,120$52,4810%20%10th90th$11,749Professionalmedian $12,303 · 10th–90th $9,772$83,1760%20%10th90th$12,303$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
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $95,499.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,022.64 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $11,748.98 / $50,118.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,589.25 / $33,113.11
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $32,359.37 / $51,286.14
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,892.96 / $40,738.03 / $83,176.38
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $26,915.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,952.62 / $34,673.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $107,151.93 / $107,151.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114,815.36 / $165,958.69 / $165,958.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $22,387.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $21,379.62 / $29,512.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $21,379.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $15,135.61 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $13,182.57 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $12,022.64 / $23,442.29