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Vermont 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 $9,772 · 10th–90th $9,772–$12,3030%50%90th$9,772Professionalmedian $8,710 · 10th–90th $7,586–$10,7150%20%10th90th$8,710$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
$7,585.78 / $8,709.64 / $10,715.19
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
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $12,882.50 / $34,673.69