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Alaska 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 $11,482 · 10th–90th $11,482–$17,3780%50%90th$11,482Professionalmedian $11,749 · 10th–90th $8,511–$16,5960%10%10th90th$11,749$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
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,964.78 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $18,620.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $15,135.61 / $17,378.01
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $17,378.01 / $54,954.09
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $16,595.87 / $17,378.01
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $16,595.87 / $17,378.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $18,197.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $9,772.37 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,511.38 / $16,218.10