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North Carolina 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 $16,982 · 10th–90th $9,772–$38,0190%20%10th90th$16,982Professionalmedian $14,791 · 10th–90th $9,772–$17,3780%20%40%10th90th$14,791$1.0$10.0$100.0$1.0K$10.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $13,803.84 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $15,488.17
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $11,220.18 / $14,791.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $18,197.01 / $31,622.78
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,135.61 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $11,220.18 / $15,848.93
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $107,151.93 / $107,151.93
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $165,958.69