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New Jersey rates for HCPCS L5280

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

Facilitymedian $3,548 · 10th–90th $2,239–$6,1660%20%40%10th90th$3,548Professionalmedian $3,548 · 10th–90th $2,399–$6,1660%10%10th90th$3,548$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,162.28 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,677.35 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,754.40 / $8,511.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,570.88 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,630.78 / $6,165.95