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Texas rates for HCPCS L5250

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

Facilitymedian $5,248 · 10th–90th $2,951$19,0550%10%10th90th$5,248Professionalmedian $3,311 · 10th–90th $2,754$5,8880%20%10th90th$3,311$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
$2,951.21 / $2,951.21 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,311.31 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $6,918.31 / $6,918.31
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 / $4,365.16
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $50,118.72 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,370.32 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,311.31 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,890.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,128.61 / $8,709.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,786.30 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,801.89 / $4,786.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,918.31 / $6,918.31