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Idaho 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 $17,378 · 10th–90th $11,482–$21,8780%20%10th90th$17,378Professionalmedian $12,882 · 10th–90th $7,586–$20,4170%10%20%10th90th$12,882$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,964.78 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $17,378.01 / $26,302.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $20,417.38 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $9,772.37
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $15,848.93 / $19,498.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $17,378.01 / $18,620.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,782.79 / $17,782.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $19,498.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $11,748.98 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,762.47 / $12,302.69