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CPT L8430

HC Prosthetic Sock Above Knee Multiple Ply Ea Restricted Non-Mm Supply

Reported by 3 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$17

Average

$32

Median

$33

High

$46

Hospitals reporting this code

#HospitalLocation
1Saint Alphonsus Regional Medical Center - BoiseBoise, ID$6$19$17$35$5
2Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$31$46$46$54$7
3Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$11$34$33$59$14

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