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Nevada 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 $7,079 · 10th–90th $7,079–$22,3870%50%90th$7,079Professionalmedian $11,749 · 10th–90th $9,550–$22,3870%10%20%10th90th$11,749$200.0$1.0K$5.0K$20.0K$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
$7,079.46 / $7,079.46 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,220.18 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $23,442.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,454.40 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $14,454.40
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $38,904.51
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $22,387.21 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $14,454.40 / $24,547.09