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Indiana rates for HCPCS L5855

Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

Facilitymedian $380 · 10th–90th $178–$4680%20%40%10th90th$380Professionalmedian $195 · 10th–90th $174–$3470%50%10th90th$195$0.5$2.0$10.0$50.0$200.0$1.0K

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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $190.55 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $389.05
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $281.84 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $281.84