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California rates for HCPCS L5280

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

Facilitymedian $3,548 · 10th–90th $2,818$16,2180%20%10th90th$3,548Professionalmedian $3,802 · 10th–90th $2,754$30,9030%20%10th90th$3,802$5.0$20.0$100.0$500.0$2.0K$10.0K$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
$3,630.78 / $3,630.78 / $35,481.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,630.78 / $30,902.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,548.13 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $9,772.37
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $12,022.64 / $19,054.61
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,884.03 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,413.10 / $12,882.50
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $35,481.34
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,079.46
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $7,079.46 / $10,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $7,943.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,951.21 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $4,073.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,715.35 / $8,511.38