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Virginia rates for HCPCS L5280

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

Facilitymedian $6,166 · 10th–90th $3,236–$7,7620%20%40%10th90th$6,166Professionalmedian $3,631 · 10th–90th $2,951–$6,1660%50%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
$3,235.94 / $3,235.94 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,235.94 / $5,128.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,606.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $7,585.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,073.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,165.95 / $8,709.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,073.80 / $6,165.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,466.84 / $8,317.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,630.78 / $4,073.80
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,128.61 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,128.61 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,570.88 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,019.95 / $4,786.30