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Hemipelvectomy, Canadian Type, Molded Socket

Maine 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?

$4,677

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $7,586 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$4,571$3,631 to $6,310
FacilityA hospital or hospital-owned outpatient department$7,586$4,898 to $8,511

How much rates vary

Facilitymedian $7,586 · 10th to 90th $4,571 to $9,120Professionalmedian $4,571 · 10th to 90th $3,162 to $6,310
$2K$5K$10Kfacility $7,586professional $4,571

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
$3,162.28
Median
$3,630.78
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,511.38
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,585.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,073.80
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$6,165.95
Typical High
$6,309.57

Where Maine 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.

Maine· 16th of 51

$4,677

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.