go back

Utah rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Facilitymedian $3,715 · 10th–90th $2,138–$6,1660%20%40%10th90th$3,715Professionalmedian $4,365 · 10th–90th $2,138–$26,9150%10%10th90th$4,365$50.0$200.0$1.0K$5.0K$20.0K

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
$2,137.96 / $2,137.96 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,090.30 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $4,466.84 / $5,754.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,165.95 / $6,165.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,365.16 / $6,606.93
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,165.95 / $6,309.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,309.57 / $7,079.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,388.44 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,570.40 / $4,677.35