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Nationwide rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $1,549 · 10th–90th $851$4,8980%10%10th90th$1,549Professionalmedian $1,175 · 10th–90th $813$2,3990%20%10th90th$1,175$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$812.83 / $1,148.15 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,122.02 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,202.26 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,412.54 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,071.52 / $1,995.26