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Nationwide rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Facilitymedian $11,749 · 10th–90th $4,571–$29,5120%10%10th90th$11,749Professionalmedian $9,772 · 10th–90th $7,413–$17,3780%20%10th90th$9,772$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$7,413.10 / $9,120.11 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,912.51 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,888.44 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,309.57 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $72,443.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $25,118.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,302.69 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,912.51 / $15,488.17

See more rates by state

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