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Thigh Lacer, Nonmolded, Below-Knee

Pennsylvania rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Rates data updated July 2026.

How much does Thigh Lacer, Nonmolded, Below-Knee cost?

$204

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $501 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$182 to $275
FacilityA hospital or hospital-owned outpatient department$501$186 to $724

How much rates vary

Facilitymedian $501 · 10th to 90th $186 to $1,349Professionalmedian $204 · 10th to 90th $170 to $339
$200$1K$5K$20Kfacility $501professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$302.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$912.01
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$426.58
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$724.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$309.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,000.00
Typical High
$1,621.81
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$446.68

Where Pennsylvania sits

The same service costs 2.3 times more in South Dakota than in Nevada. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 45th of 51

$204

SD $427NV $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.