go back

Utah rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $851 · 10th–90th $417–$1,2880%20%40%10th90th$851Professionalmedian $933 · 10th–90th $417–$5,7540%10%10th90th$933$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $776.25 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $933.25 / $1,230.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,288.25 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,318.26 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $676.08 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $1,023.29