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Hemipelvectomy, Canadian Type, Molded Socket

New Jersey 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?

$3,467

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $2,291 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 5 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$3,467$2,630 to $5,623
FacilityA hospital or hospital-owned outpatient department$2,291$2,239 to $4,677

How much rates vary

Facilitymedian $2,291 · 10th to 90th $2,239 to $6,166Professionalmedian $3,467 · 10th to 90th $2,399 to $6,166
$2K$5K$10K$20Kfacility $2,291professional $3,467

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
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$5,623.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,888.44
Typical High
$8,128.31
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$6,165.95

Where New Jersey 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.

New Jersey· 43rd of 51

$3,467

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.