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Minnesota 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 $20,417 · 10th–90th $15,136–$128,8250%20%10th90th$20,417Professionalmedian $17,378 · 10th–90th $8,710–$20,4170%20%40%10th90th$17,378$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,715.19 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $17,378.01 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $17,378.01 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $66,069.34 / $158,489.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $22,908.68 / $25,703.96
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $64,565.42 / $128,824.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $27,542.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $17,378.01 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,762.47 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $10,471.29 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $9,120.11 / $23,988.33