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Hip Disarticulation, Canadian Type, Molded Socket

Maine rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Hip Disarticulation, Canadian Type, Molded Socket cost?

$4,467

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $6,918 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 6 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$4,365$3,715 to $5,888
FacilityA hospital or hospital-owned outpatient department$6,918$4,677 to $7,943

How much rates vary

Facilitymedian $6,918 · 10th to 90th $4,365 to $8,511Professionalmedian $4,365 · 10th to 90th $2,951 to $5,888
$2K$5K$10Kfacility $6,918professional $4,365

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,715.35
Typical High
$4,466.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,943.28
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,365.16
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$7,079.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,168.69
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$5,754.40
Typical High
$5,888.44

Where Maine sits

The same service costs 4.1 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 18th of 51

$4,467

HI $11,220DE $2,754

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.