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Georgia 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 $17,783 · 10th–90th $7,413–$66,0690%10%20%10th90th$17,783Professionalmedian $10,000 · 10th–90th $7,413–$17,7830%20%10th90th$10,000$20.0$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$7,413.10 / $7,413.10 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,709.64 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $42,657.95 / $66,069.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $14,791.08 / $22,908.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $15,135.61
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $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 / $21,379.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $17,782.79 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $11,748.98 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,709.64 / $17,378.01