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Delaware 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 $14,454 · 10th–90th $16–$15,1360%50%10th90th$14,454Professionalmedian $10,715 · 10th–90th $8,913–$43,6520%20%10th90th$10,715$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,471.29 / $43,651.58
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
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $13,182.57 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,748.98 / $16,595.87