go back

Washington 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 $22,387 · 10th–90th $14,125–$52,4810%20%10th90th$22,387Professionalmedian $15,849 · 10th–90th $9,772–$32,3590%10%20%10th90th$15,849$1.0$10.0$100.0$1.0K$10.0K$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
$14,125.38 / $14,125.38 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,022.64 / $19,952.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $21,379.62 / $21,379.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $24,547.09
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $29,512.09 / $61,659.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $26,302.68 / $46,773.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $20,892.96 / $23,442.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $21,379.62 / $22,387.21
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $32,359.37 / $43,651.58
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $21,379.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $32,359.37 / $32,359.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $13,489.63 / $19,054.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $19,054.61 / $33,884.42