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Virginia 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 $21,380 · 10th–90th $11,482–$23,9880%20%40%10th90th$21,380Professionalmedian $12,023 · 10th–90th $9,772–$19,9530%20%10th90th$12,023$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
$11,481.54 / $11,748.98 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,481.54 / $17,378.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $23,988.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $26,302.68
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $22,387.21 / $31,622.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $14,791.08 / $21,877.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $15,135.61 / $25,703.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $13,489.63 / $14,454.40
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,982.44 / $30,199.52
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,982.44 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,964.78 / $17,378.01