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Georgia 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 $22,909 · 10th–90th $9,333–$85,1140%10%20%10th90th$22,909Professionalmedian $12,882 · 10th–90th $9,333–$21,8780%10%20%10th90th$12,882$20.0$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$9,332.54 / $9,332.54 / $27,542.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $11,220.18 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $54,954.09 / $85,113.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $18,620.87 / $28,183.83
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $19,054.61
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $19,054.61
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 / $27,542.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $22,908.68 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,220.18 / $21,877.62