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Ohio rates for HCPCS L5250

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

Facilitymedian $7,244 · 10th–90th $4,169–$12,0230%20%40%10th90th$7,244Professionalmedian $3,388 · 10th–90th $2,754–$6,1660%20%40%10th90th$3,388$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
$3,311.31 / $3,311.31 / $5,888.44
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
$6,918.31 / $7,244.36 / $14,791.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,168.69 / $8,912.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,248.07 / $7,413.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,623.41 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $4,365.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $5,888.44
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,762.47 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,128.61 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,311.31 / $4,786.30