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Rhode Island 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 $39,811 · 10th–90th $14,454–$51,2860%10%20%10th90th$39,811Professionalmedian $11,220 · 10th–90th $9,550–$19,0550%10%20%10th90th$11,220$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
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,220.18 / $33,884.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $43,651.58 / $51,286.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $11,481.54 / $23,442.29
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 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $18,197.01