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Hemipelvectomy, Canadian Type, Molded Socket

New York 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?

$3,631

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $3,890 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 9 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$3,631$3,311 to $5,248
FacilityA hospital or hospital-owned outpatient department$3,890$3,548 to $6,310

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,630 to $10,233Professionalmedian $3,631 · 10th to 90th $2,630 to $9,333
$2K$5K$10K$20K$50Kfacility $3,890professional $3,631

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
$3,019.95
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,090.30
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$12,589.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$10,471.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$5,128.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,897.79
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$23,988.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,606.93
Typical High
$11,748.98
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,715.35
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$3,890.45
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$4,073.80
Typical High
$10,232.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$3,801.89
Univera
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,715.35
Typical High
$3,890.45

Where New York 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 York· 35th of 51

$3,631

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.