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Hemipelvectomy, Canadian Type, Molded Socket

Vermont 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 $4,074$4,8980%50%10th90th$4,677Professionalmedian $3,802 · 10th–90th $3,548$4,6770%50%10th90th$3,802$2.0K$5.0K$10.0K$20.0K

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
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$14,454.40