HCPCS L1858
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR KO POLYCENTRIC PNEUMATIC PAD
Low
$32
Average
$427
Median
$189
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 12.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · fee schedule · outpatient · +1 other terms | 3 | $1.1k | $1.6k | $756 | 48% | — | $1.1k – $2.7k |
| 2 | Humana professional · percent of total billed charges · bothfrom % of charges | 2 | $703 | $703 | — | — | — | $703 – $703 |
| 3 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $843 | $843 | — | — | — | $843 – $843 |
| 4 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $271 | $271 | $41 | 15% | — | $237 – $329 |
| 5 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | $28 | 19% | — | $111 – $200 |
| 6 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | $34 | 30% | — | $61 – $168 |
| 7 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 8 | Molina percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | $113 | 50% | — | $113 – $338 |
| 9 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 10 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
← Hospitals reporting HCPCS L1858 · Snapshot 20261113T090226Z-3ce6c0b8