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Hemipelvectomy, Canadian Type, Molded Socket

Massachusetts 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?

$6,310

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $6,166 from a physician practice, and about $8,913 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 9 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$6,166$3,467 to $6,310
FacilityA hospital or hospital-owned outpatient department$8,913$6,918 to $10,471

How much rates vary

Facilitymedian $8,913 · 10th to 90th $3,162 to $12,589Professionalmedian $6,166 · 10th to 90th $3,162 to $9,550
$100$500$2K$10Kfacility $8,913professional $6,166

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
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$10,964.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,413.10
Typical High
$39,810.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$8,709.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$9,332.54
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,897.79
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$9,549.93
Health New England
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,413.10
Typical High
$39,810.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,677.35
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,888.44
Typical High
$6,309.57

Where Massachusetts 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.

Massachusetts· 11th of 51

$6,310

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.