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Iowa rates for HCPCS L5280

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

Facilitymedian $7,079 · 10th–90th $4,677–$18,1970%20%10th90th$7,079Professionalmedian $3,890 · 10th–90th $2,630–$7,9430%10%20%10th90th$3,890$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
$5,623.41 / $5,623.41 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,715.35 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,511.38 / $10,715.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,772.37 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $9,332.54 / $34,673.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,570.88 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $8,317.64 / $9,332.54
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $12,022.64 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $7,413.10 / $16,218.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,801.89 / $6,918.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,079.46 / $7,079.46