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Florida 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 $10,965 · 10th–90th $9,550–$18,1970%20%40%10th90th$10,965Professionalmedian $11,482 · 10th–90th $9,550–$16,9820%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
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,471.29 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $16,982.44
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $22,908.68
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $21,379.62 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $14,454.40
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $13,803.84 / $22,908.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $15,135.61 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,220.18 / $15,135.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $22,908.68