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Washington 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 $19,498 · 10th–90th $14,791–$41,6870%20%10th90th$19,498Professionalmedian $12,882 · 10th–90th $7,586–$26,3030%10%20%10th90th$12,882$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$11,748.98 / $11,748.98 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,772.37 / $15,488.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $17,782.79 / $17,782.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $20,417.38
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $26,302.68 / $54,954.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $24,547.09 / $40,738.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $17,378.01 / $19,054.61
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,782.79 / $18,197.01
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $27,542.29 / $36,307.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $17,782.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $25,703.96 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,715.19 / $14,791.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $15,848.93 / $27,542.29