go back

Hawaii 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 $10,471 · 10th–90th $9,772–$13,4900%20%10th90th$10,471Professionalmedian $9,333 · 10th–90th $7,413–$15,4880%10%10th90th$9,333$5.0K$10.0K$20.0K

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
$7,413.10 / $9,332.54 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $15,848.93 / $21,379.62
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $17,378.01 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,715.19 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $18,620.87