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New Jersey 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 $8,128 · 10th–90th $8,128–$22,3870%20%40%90th$8,128Professionalmedian $10,965 · 10th–90th $8,511–$21,8780%10%10th90th$10,965$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
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,471.29 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $14,454.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $20,417.38 / $30,199.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,135.61 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $21,877.62