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Nebraska rates for HCPCS L5250

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

Facilitymedian $7,079 · 10th–90th $4,169–$33,1130%10%20%10th90th$7,079Professionalmedian $4,467 · 10th–90th $2,512–$18,6210%10%20%10th90th$4,467$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,466.84 / $36,307.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,762.47 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $7,585.78 / $33,113.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,168.69 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $18,620.87
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $17,378.01 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,677.35 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,467.37 / $5,495.41