go back

New York rates for HCPCS L5331

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

Facilitymedian $4,365 · 10th–90th $2,455–$10,2330%10%10th90th$4,365Professionalmedian $3,631 · 10th–90th $2,512–$7,7620%20%40%10th90th$3,631$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
$2,041.74 / $4,466.84 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,090.30 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $11,481.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,715.35 / $8,912.51
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,677.35 / $4,677.35
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $7,244.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,332.54 / $21,877.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,754.40 / $10,715.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,691.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,388.44 / $3,548.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,168.69 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,715.35 / $9,332.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,162.28 / $3,388.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,388.44 / $3,548.13