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Texas rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Facilitymedian $3,162 · 10th–90th $1,820–$9,3330%10%10th90th$3,162Professionalmedian $1,995 · 10th–90th $1,479–$3,7150%20%10th90th$1,995$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$1,862.09 / $1,862.09 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $2,454.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $26,302.68 / $26,302.68
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,995.26 / $4,265.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,162.28 / $5,248.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,570.40 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,041.74 / $2,511.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,265.80 / $4,265.80