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Vermont 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 $14,454 · 10th–90th $13,183–$15,8490%50%10th90th$14,454Professionalmedian $10,715 · 10th–90th $9,550–$13,8040%20%10th90th$10,715$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 / $10,715.19 / $13,803.84
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 / $15,488.17
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $15,135.61 / $43,651.58