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Hemipelvectomy, Canadian Type, Molded Socket

Missouri 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?

$4,365

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $5,888 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$3,890$3,631 to $5,248
FacilityA hospital or hospital-owned outpatient department$5,888$4,677 to $7,413

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,311 to $13,804Professionalmedian $3,890 · 10th to 90th $3,236 to $8,710
$10.0$100.0$1.0K$10.0Kfacility $5,888professional $3,890

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
$3,311.31
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,897.79
Typical High
$35,481.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,715.35
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,754.40
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,888.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$5,495.41

Where Missouri sits

The same service costs 4.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $4,365 · 20th of 51
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.