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Ohio rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Facilitymedian $6,761 · 10th–90th $3,548–$11,2200%20%40%10th90th$6,761Professionalmedian $3,162 · 10th–90th $2,399–$5,4950%20%10th90th$3,162$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$3,090.30 / $3,090.30 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,019.95 / $4,570.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,760.83 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,801.89 / $8,317.64
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,677.35 / $6,606.93
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,897.79 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,073.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,801.89 / $5,495.41
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,244.36 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,466.84 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $4,073.80