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Minnesota 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 $26,303 · 10th–90th $19,055$162,1810%20%10th90th$26,303Professionalmedian $22,387 · 10th–90th $10,965$26,3030%20%40%10th90th$22,387$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
$18,620.87 / $18,620.87 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $13,182.57 / $18,620.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $22,387.21 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $22,387.21 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $85,113.80 / $199,526.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $29,512.09 / $33,113.11
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $83,176.38 / $162,181.01
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $35,481.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $22,387.21 / $104,712.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,000.00 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $13,182.57 / $32,359.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $11,748.98 / $30,902.95