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New York rates for HCPCS L5250

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

Facilitymedian $4,898 · 10th–90th $2,884$12,3030%10%20%10th90th$4,898Professionalmedian $3,802 · 10th–90th $2,754$9,7720%20%10th90th$3,802$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
$2,454.71 / $5,370.32 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,311.31 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $11,220.18
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,495.41 / $5,495.41
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $7,762.47
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,220.18 / $26,302.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,760.83 / $12,882.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,311.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,981.07 / $4,265.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,456.54 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,677.35 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,466.84 / $11,220.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,801.89 / $3,981.07
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,981.07 / $4,265.80