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North Carolina 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 $13,183 · 10th–90th $8,318–$30,9030%20%10th90th$13,183Professionalmedian $11,749 · 10th–90th $7,586–$13,4900%20%40%10th90th$11,749$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$13,182.57 / $13,182.57 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,964.78 / $13,182.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $14,791.08
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 / $10,000.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,182.57 / $23,988.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,302.69 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $8,709.64 / $12,882.50
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91,201.08 / $91,201.08 / $128,824.96