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Hemipelvectomy, Canadian Type, Molded Socket

South Dakota rates for HCPCS L5280

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

Rates data updated July 2026.

Facilitymedian $7,762 · 10th–90th $4,898$15,8490%10%20%10th90th$7,762Professionalmedian $7,244 · 10th–90th $5,129$10,7150%20%10th90th$7,244$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,165.95
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,715.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,943.28
Typical High
$21,877.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,128.61
Typical High
$52,480.75
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$7,943.28
Typical High
$7,943.28
Midlands
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$5,128.61
Typical High
$8,511.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36