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Delaware 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 $9,772 · 10th–90th $13–$11,7490%20%40%10th90th$9,772Professionalmedian $8,128 · 10th–90th $7,079–$13,1830%20%10th90th$8,128$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,128.31 / $13,182.57
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
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $10,471.29 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $10,000.00 / $13,182.57