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Kentucky rates for HCPCS L5595

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

Facilitymedian $3,631 · 10th–90th $2,399–$8,9130%10%10th90th$3,631Professionalmedian $2,754 · 10th–90th $2,291–$4,0740%20%10th90th$2,754$2.0K$5.0K$10.0K$20.0K

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
$2,398.83 / $2,398.83 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,691.53 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,248.07 / $5,495.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,884.03 / $2,951.21
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,918.31 / $8,912.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,309.57 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $8,912.51 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,073.80 / $26,915.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,388.44 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,630.78 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,570.40 / $3,715.35