Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR KNEE DISC/DIAL LOCK/ADJ FLEX
Bronx, NY
See all hospitals reporting HCPCS L2425 →Price type
Montefiore Medical Center’s median price of $169 is 7% below the median hospital's median price ($181), higher than 13% of the 919 hospitals reporting HCPCS L2425. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 48 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna commercial midlevels fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Aetna commercial fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 3 | UnitedHealthcare empire plan - midlevels fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 4 | UnitedHealthcare empire plan md/dos fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 5 | Blue Cross Blue Shield mhs employees fee schedule · both | $134 | $134 | — | — | — | $134 – $134 |
| 6 | Blue Cross Blue Shield medicare midlevels fee schedule · both | $143 | $143 | — | — | — | $143 – $143 |
| 7 | Humana medicare midlevels fee schedule · both | $143 | $143 | — | — | — | $143 – $143 |
| 8 | UnitedHealthcare essential plan 3 & 4 fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
| 9 | UnitedHealthcare medicaid fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
| 10 | UnitedHealthcare medicare fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
| 11 | Aetna medicare fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 12 | Aetna medicare midlevels fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 13 | Blue Cross Blue Shield essential 1 & 2 fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 14 | Blue Cross Blue Shield essential 3 & 4 fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 15 | Blue Cross Blue Shield medicare fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Blue Cross Blue Shield medicare/dual fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 17 | Cigna medicare fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 18 | Cigna medicare midlevels fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 19 | Medicare part b fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 20 | Medicare part b - pa's & np's fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 21 | Oscar medicare fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 22 | WellCare essential plan 3 & 4 - pcps (medicaid) fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 23 | WellCare medicaid - pas & nps fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 24 | WellCare medicaid specialists fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 25 | Humana medicare fee schedule · both | $172 | $172 | — | — | — | $172 – $172 |
Last updated: Sep 28, 2026
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