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Connecticut 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 $8,318 · 10th–90th $8,318–$17,3780%50%90th$8,318Professionalmedian $8,318 · 10th–90th $6,457–$14,7910%10%20%10th90th$8,318$5.0K$10.0K$20.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,317.64 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $17,378.01 / $20,892.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $15,488.17
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,589.25 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,511.38 / $13,803.84