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Texas rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Facilitymedian $2,089 · 10th–90th $1,175$5,0120%10%10th90th$2,089Professionalmedian $1,259 · 10th–90th $933$2,4550%20%10th90th$1,259$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1,230.27 / $1,230.27 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,258.93 / $2,290.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,621.81
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $15,488.17 / $15,488.17
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,089.30 / $3,467.37
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,288.25 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,089.30 / $3,467.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,621.81 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,288.25 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,818.38 / $2,818.38