go back

Alaska rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Facilitymedian $4,365 · 10th–90th $1,995–$10,0000%20%40%10th90th$4,365Professionalmedian $4,677 · 10th–90th $3,236–$13,4900%10%20%10th90th$4,677$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
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,677.35 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $12,302.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,456.54 / $10,000.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $10,000.00 / $23,442.29
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $10,232.93 / $10,715.19
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,232.93 / $10,715.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $8,912.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $4,365.16 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,128.61 / $15,135.61