go back

Arizona rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Facilitymedian $5,248 · 10th–90th $1,549–$12,8820%10%10th90th$5,248Professionalmedian $2,884 · 10th–90th $2,138–$5,1290%20%10th90th$2,884$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
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,884.03 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $6,456.54 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,888.44 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $4,265.80 / $25,703.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,398.83 / $44,668.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,365.16 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $3,715.35