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Hemipelvectomy, Canadian Type, Molded Socket

Georgia rates for HCPCS L5280

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

Rates data updated July 2026.

How much does Hemipelvectomy, Canadian Type, Molded Socket cost?

$3,715

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $6,310 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$3,715$2,951 to $5,129
FacilityA hospital or hospital-owned outpatient department$6,310$4,074 to $10,000

How much rates vary

Facilitymedian $6,310 · 10th to 90th $2,570 to $22,909Professionalmedian $3,715 · 10th to 90th $2,570 to $6,166
$2K$5K$10K$20Kfacility $6,310professional $3,715

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,388.44
Typical High
$5,248.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$14,791.08
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,128.61
Typical High
$8,317.64
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$8,511.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,309.57
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,570.88
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$6,025.60

Where Georgia sits

The same service costs 4.7 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.

Georgia· 32nd of 51

$3,715

HI $12,882DE $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.