go back

Texas rates for HCPCS L5280

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

Facilitymedian $5,370 · 10th–90th $3,090–$21,8780%10%10th90th$5,370Professionalmedian $3,467 · 10th–90th $2,692–$6,1660%20%10th90th$3,467$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
$3,090.30 / $3,090.30 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,388.44 / $6,165.95
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $35,481.34
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,495.41 / $8,912.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,548.13 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,370.32 / $8,912.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,786.30 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,801.89 / $4,677.35
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,079.46 / $7,079.46