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California rates for HCPCS L5595

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

Facilitymedian $2,818 · 10th–90th $2,188–$12,8820%20%10th90th$2,818Professionalmedian $2,951 · 10th–90th $2,291–$24,5470%20%10th90th$2,951$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
$2,884.03 / $2,884.03 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,818.38 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,951.21 / $8,511.38
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $9,549.93 / $15,135.61
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $12,022.64 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $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
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,981.07 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,888.44 / $10,471.29
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $26,302.68
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $45,708.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,128.61 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $5,248.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,168.69 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $3,235.94 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,884.03 / $6,760.83