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Nebraska 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 $18,197 · 10th–90th $10,471–$81,2830%20%10th90th$18,197Professionalmedian $11,220 · 10th–90th $6,761–$46,7740%10%20%10th90th$11,220$10.0K$20.0K$50.0K$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
$11,220.18 / $11,220.18 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,220.18 / $74,131.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $16,982.44 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $20,417.38 / $30,199.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $19,054.61 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $14,454.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $46,773.51
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,988.33 / $43,651.58 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,302.69 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $8,709.64 / $13,489.63