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West 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 $8,318 · 10th–90th $8,318–$23,9880%50%90th$8,318Professionalmedian $8,318 · 10th–90th $7,762–$13,1830%20%40%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
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,317.64 / $9,332.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $23,988.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $28,183.83 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $85,113.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,302.69 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,220.18 / $15,848.93