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Hemipelvectomy, Canadian Type, Molded Socket

Tennessee 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 $4,677 · 10th–90th $2,630$39,8110%20%10th90th$4,677Professionalmedian $3,090 · 10th–90th $2,630$5,1290%20%40%10th90th$3,090$5.0$20.0$100.0$500.0$2.0K$10.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,019.95
Typical High
$4,570.88