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California 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 $5,495 · 10th–90th $4,266$24,5470%20%10th90th$5,495Professionalmedian $9,772 · 10th–90th $7,413$66,0690%20%10th90th$9,772$20.0$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
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $74,131.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $9,772.37 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,370.32 / $24,547.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $25,118.86
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $26,302.68 / $39,810.72
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $31,622.78 / $64,565.42
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 / $9,772.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $23,442.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,848.93 / $26,915.35
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91,201.08 / $128,824.96 / $128,824.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $17,378.01 / $23,442.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $17,378.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $32,359.37
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $10,471.29 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,772.37 / $18,620.87