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Missouri 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 $14,791 · 10th–90th $9,120–$37,1540%20%10th90th$14,791Professionalmedian $9,120 · 10th–90th $5,623–$16,9820%20%10th90th$9,120$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
$7,943.28 / $11,748.98 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,120.11 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $61,659.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,165.95 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $17,782.79
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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $14,791.08 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,709.64 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $14,125.38 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,709.64 / $13,489.63