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Hemipelvectomy, Canadian Type, Molded Socket

Michigan rates for HCPCS L5280

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

Rates data updated October 2026.

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

$5,248

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $10,000 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,248$4,169 to $7,244
FacilityA hospital or hospital-owned outpatient department$10,000$4,677 to $20,893

How much rates vary

Facilitymedian $10,000 · 10th to 90th $4,677 to $31,623Professionalmedian $5,248 · 10th to 90th $3,467 to $7,413
$5K$10K$20K$50Kfacility $10,000professional $5,248

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$831.76
Median
$831.76
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$630.96
Median
$630.96
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$416.87
Median
$416.87
Typical High
$724.44
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$20,892.96
Typical High
$40,738.03
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$7,244.36
Typical High
$7,244.36
CareSource
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$7,585.78
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$14,125.38
Typical High
$15,488.17
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$5,754.40
Typical High
$7,413.10
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Priority Health
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Priority Health
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,760.83
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$4,786.30

Where Michigan sits

The same service costs 3.9 times more in Hawaii than in Washington, DC. 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.

Michigan· 16th of 51

$5,248

HI $12,882DC $3,311

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.