go back

New Mexico 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 $11,749 · 10th–90th $7,586–$20,4170%20%10th90th$11,749Professionalmedian $9,772 · 10th–90th $7,762–$15,4880%20%10th90th$9,772$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $9,772.37 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $14,125.38 / $16,595.87
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 / $21,379.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $17,782.79 / $26,302.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,481.54 / $20,417.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,302.69 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,762.47 / $12,302.69