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Connecticut 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 $10,715 · 10th–90th $10,715–$22,3870%50%90th$10,715Professionalmedian $11,482 · 10th–90th $9,550–$19,9530%10%20%10th90th$11,482$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,715.19 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $22,387.21 / $26,915.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,882.50 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $19,498.45
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $16,218.10 / $24,547.09
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,135.61 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,964.78 / $17,378.01