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Nebraska 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 $13,183$104,7130%20%10th90th$22,909Professionalmedian $14,125 · 10th–90th $8,128$60,2560%10%20%10th90th$14,125$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,125.38 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $21,379.62 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $26,302.68 / $38,904.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $24,547.09 / $104,712.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $13,182.57 / $22,387.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $60,255.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $25,118.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,902.95 / $56,234.13 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $11,220.18 / $17,378.01