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Colorado 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 $19,953 · 10th–90th $11,220–$28,1840%20%40%10th90th$19,953Professionalmedian $11,220 · 10th–90th $9,550–$19,9530%20%10th90th$11,220$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
$11,220.18 / $19,952.62 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,220.18 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $25,703.96 / $50,118.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,589.25 / $15,848.93
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $22,908.68 / $46,773.51
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,908.68 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $13,182.57 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,000.00 / $22,908.68