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Maryland 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 $15,136 · 10th–90th $13,183–$15,4880%50%10th90th$15,136Professionalmedian $11,749 · 10th–90th $9,550–$19,0550%10%20%10th90th$11,749$10.0K$20.0K$50.0K$100.0K

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
$9,549.93 / $11,748.98 / $19,054.61
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $22,387.21 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $15,135.61 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,481.54 / $17,378.01
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $13,489.63