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Texas 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 $18,197 · 10th–90th $9,772–$48,9780%10%20%10th90th$18,197Professionalmedian $10,965 · 10th–90th $9,550–$19,9530%20%10th90th$10,965$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $13,489.63
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $22,908.68 / $22,908.68
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
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $107,151.93 / $107,151.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114,815.36 / $165,958.69 / $165,958.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $19,498.45 / $30,199.52
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,220.18 / $21,877.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,220.18 / $11,220.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $18,620.87 / $30,199.52
Providence
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
$9,120.11 / $15,848.93 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $12,302.69 / $15,135.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $22,908.68 / $22,908.68