go back

Virginia 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 $17,378 · 10th–90th $9,120–$18,6210%50%10th90th$17,378Professionalmedian $9,120 · 10th–90th $5,623–$14,1250%20%40%10th90th$9,120$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,120.11 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $11,748.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $17,378.01 / $24,547.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $11,481.54 / $19,498.45
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,471.29 / $11,481.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $15,135.61 / $28,840.32
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $15,135.61 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,302.69 / $21,379.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $8,709.64 / $13,803.84