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Pennsylvania rates for HCPCS L5600

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

Facilitymedian $6,166 · 10th–90th $2,455–$9,5500%20%10th90th$6,166Professionalmedian $2,951 · 10th–90th $2,344–$4,7860%20%40%10th90th$2,951$1.0$10.0$100.0$1.0K$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
$2,454.71 / $9,549.93 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $4,677.35
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,466.84 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $4,073.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,943.28 / $11,481.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,981.07 / $5,623.41
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $4,570.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $8,128.31 / $11,748.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $5,248.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $7,244.36 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,162.28 / $6,025.60