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Hemipelvectomy, Canadian Type, Molded Socket

Wisconsin 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 $7,413 · 10th–90th $5,623$13,4900%20%40%10th90th$7,413Professionalmedian $6,918 · 10th–90th $3,631$12,3030%20%10th90th$6,918$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
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$16,982.44
Typical High
$38,018.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$10,715.19
Typical High
$14,125.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$9,120.11
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$7,244.36
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$7,244.36
Typical High
$34,673.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$8,317.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$4,168.69
Network Health
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Network Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$8,317.64
Typical High
$14,454.40
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$9,120.11
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$7,244.36
Typical High
$8,128.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$11,220.18
Typical High
$18,197.01
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$15,135.61
Typical High
$35,481.34
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$11,220.18
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,630.78
Typical High
$6,606.93