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Ohio rates for HCPCS L5280

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

Facilitymedian $7,943 · 10th–90th $4,074–$13,1830%20%10th90th$7,943Professionalmedian $3,631 · 10th–90th $2,754–$6,6070%20%40%10th90th$3,631$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$3,548.13 / $3,548.13 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,548.13 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,943.28 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,466.84 / $9,772.37
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,248.07 / $7,413.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,495.41 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,466.84 / $6,456.54
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,317.64 / $15,488.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,128.61 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,630.78 / $4,677.35