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West 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 $10,715 · 10th–90th $10,715–$30,2000%50%90th$10,715Professionalmedian $10,715 · 10th–90th $9,772–$15,8490%20%40%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
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $10,715.19 / $11,748.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $30,199.52
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $35,481.34 / $35,481.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $107,151.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $14,125.38 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $13,489.63 / $18,197.01