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New York rates for HCPCS L5280

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

Facilitymedian $4,786 · 10th–90th $2,630–$11,4820%20%10th90th$4,786Professionalmedian $3,631 · 10th–90th $2,630–$9,3330%20%40%10th90th$3,631$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
$2,238.72 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,388.44 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $10,471.29
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,128.61 / $5,128.61
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $8,511.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,232.93 / $23,988.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,165.95 / $11,748.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,715.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,715.35 / $3,890.45
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,073.80 / $10,232.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,715.35 / $3,801.89
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,715.35 / $3,890.45