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Manual Lock, Above-Knee, Knee or Hip Disarticulation

Ohio rates for HCPCS L5925

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

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $234$7080%20%40%10th90th$437Professionalmedian $234 · 10th–90th $191$4680%20%10th90th$234$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
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$537.03
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$645.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$354.81
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$309.03