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Ohio rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Facilitymedian $6,166 · 10th–90th $3,467–$10,2330%20%40%10th90th$6,166Professionalmedian $2,884 · 10th–90th $2,291–$5,2480%20%10th90th$2,884$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
$2,818.38 / $2,818.38 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,818.38 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,165.95 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $7,585.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,466.84 / $6,309.57
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,677.35 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,715.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,548.13 / $5,011.87
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $7,079.46 / $7,079.46
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,606.93 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,365.16 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,884.03 / $3,981.07