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California rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Facilitymedian $2,884 · 10th–90th $2,291$12,3030%20%10th90th$2,884Professionalmedian $2,512 · 10th–90th $1,950$17,7830%20%10th90th$2,512$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
$2,454.71 / $2,454.71 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,454.71 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,884.03 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,019.95 / $6,918.31
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,918.31 / $10,964.78
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $8,709.64 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $3,019.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,630.78 / $5,754.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,365.16 / $7,413.10
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,915.35 / $30,199.52 / $30,199.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,677.35 / $6,309.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $5,011.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,801.89 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,630.27 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,454.71 / $5,248.07