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Indiana 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 $10,715–$28,1840%50%10th90th$22,909Professionalmedian $11,220 · 10th–90th $9,772–$18,6210%20%40%10th90th$11,220$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
$10,715.19 / $10,715.19 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,220.18 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $22,908.68 / $28,840.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,589.25 / $22,387.21
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $29,512.09 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,220.18 / $16,218.10