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Manual Lock, Above-Knee, Knee or Hip Disarticulation

Michigan rates for HCPCS L5925

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

Rates data updated July 2026.

How much does Manual Lock, Above-Knee, Knee or Hip Disarticulation cost?

$263

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $550 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 7 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$240$214 to $407
FacilityA hospital or hospital-owned outpatient department$550$263 to $1,072

How much rates vary

Facilitymedian $550 · 10th to 90th $229 to $1,622Professionalmedian $240 · 10th to 90th $191 to $407
$1.0$10.0$100.0$1.0Kfacility $550professional $240

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,202.26
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$501.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$758.58
Typical High
$851.14
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$489.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$309.03

Where Michigan sits

The same service costs 3.0 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $263 · 32nd of 51
KS $562DE $191

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.