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Virginia rates for HCPCS L5600

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

Facilitymedian $5,623 · 10th–90th $2,884–$7,0790%20%40%10th90th$5,623Professionalmedian $3,236 · 10th–90th $2,570–$5,3700%20%10th90th$3,236$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
$2,884.03 / $2,951.21 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,951.21 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $6,760.83
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,715.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,623.41 / $7,943.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,715.35 / $5,495.41
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,981.07 / $7,244.36
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,548.13 / $3,715.35
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,981.07 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,754.23 / $4,365.16