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New Jersey 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 $6,457 · 10th–90th $6,457–$17,3780%20%40%90th$6,457Professionalmedian $9,120 · 10th–90th $6,761–$16,9820%10%10th90th$9,120$10.0K$20.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,317.64 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $9,772.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $16,595.87 / $23,442.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
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
$7,943.28 / $10,232.93 / $16,982.44