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Manual Lock, Above-Knee, Knee or Hip Disarticulation

Illinois rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $200$2,0420%20%10th90th$407Professionalmedian $316 · 10th–90th $200$4370%20%10th90th$316$0.5$2.0$10.0$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$616.60
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$354.81