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Minnesota rates for HCPCS L5250

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

Facilitymedian $7,762 · 10th–90th $5,623–$48,9780%20%10th90th$7,762Professionalmedian $6,761 · 10th–90th $3,311–$7,7620%50%10th90th$6,761$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5,623.41 / $5,623.41 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,168.69 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,760.83 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $25,118.86 / $60,255.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,912.51 / $10,000.00
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $25,118.86 / $48,977.88
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $10,715.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,760.83 / $33,113.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $4,168.69 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,890.45 / $9,332.54