go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $11,220.18 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $22,387.21 / $23,442.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $14,454.40 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $15,488.17
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $22,387.21 / $38,904.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,952.62 / $22,387.21 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $13,182.57 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $14,454.40 / $20,417.38