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Rhode Island 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 $30,903 · 10th–90th $10,471–$39,8110%10%20%10th90th$30,903Professionalmedian $8,318 · 10th–90th $7,413–$15,1360%20%10th90th$8,318$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
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,317.64 / $26,302.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $33,884.42 / $39,810.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $15,135.61 / $18,197.01
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 / $9,772.37
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
$7,943.28 / $10,715.19 / $14,125.38