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Kentucky rates for HCPCS L5280

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

Facilitymedian $4,677 · 10th–90th $2,951–$11,7490%20%10th90th$4,677Professionalmedian $3,631 · 10th–90th $2,692–$5,3700%20%10th90th$3,631$2.0K$5.0K$10.0K$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 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,309.57 / $6,606.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $3,630.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,317.64 / $10,715.19
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,762.47 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,897.79 / $35,481.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,073.80 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,570.88 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,311.31 / $4,677.35