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Missouri 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 $18,197 · 10th–90th $10,965–$45,7090%20%10th90th$18,197Professionalmedian $12,589 · 10th–90th $9,550–$21,3800%20%10th90th$12,589$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
$10,232.93 / $15,135.61 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $79,432.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,589.25 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $22,908.68
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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $17,782.79 / $50,118.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $11,220.18 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $18,197.01 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,964.78 / $15,848.93