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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 October 2026.

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

$3,467

Typical negotiated rate. In New Jersey, October 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 $4,677 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,467$2,630 to $6,166
FacilityA hospital or hospital-owned outpatient department$4,677$4,074 to $4,898

How much rates vary

Facilitymedian $4,677 · 10th to 90th $4,074 to $6,166Professionalmedian $3,467 · 10th to 90th $2,239 to $6,166
$5Kfacility $4,677professional $3,467

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$446.68
Median
$446.68
Typical High
$549.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$338.84
Median
$338.84
Typical High
$407.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$223.87
Median
$223.87
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$8,128.31
Typical High
$8,128.31
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$3,467.37
Typical High
$6,165.95

Where New Jersey 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.

New Jersey· 49th of 51

$3,467

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.