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Idaho 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 $20,893 · 10th–90th $13,183$26,3030%50%10th90th$20,893Professionalmedian $15,488 · 10th–90th $9,772$24,5470%20%10th90th$15,488$50.0$200.0$1.0K$5.0K$20.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $18,620.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $20,892.96 / $35,481.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $24,547.09 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $14,454.40 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $14,454.40
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $20,892.96 / $23,442.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $22,387.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $21,379.62 / $21,379.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $23,442.29
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $22,387.21 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,135.61 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,000.00 / $15,488.17