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North Carolina rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Facilitymedian $4,571 · 10th–90th $2,630–$12,0230%20%10th90th$4,571Professionalmedian $4,467 · 10th–90th $2,630–$4,7860%20%40%10th90th$4,467$1.0$10.0$100.0$1.0K$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
$4,570.88 / $4,570.88 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,168.69 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,168.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,467.37 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,011.87 / $8,511.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,168.69 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,019.95 / $4,265.80
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $30,199.52 / $30,199.52
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $41,686.94