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Oklahoma 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 $12,882 · 10th–90th $9,772–$30,2000%20%10th90th$12,882Professionalmedian $10,965 · 10th–90th $9,550–$16,5960%20%10th90th$10,965$5.0K$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
$9,772.37 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $10,964.78 / $16,595.87
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 / $24,547.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $14,125.38 / $69,183.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $15,135.61 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,000.00 / $15,135.61