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Hemipelvectomy, Canadian Type, Molded Socket

West Virginia 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?

$3,236

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,020 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 4 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$3,236$3,020 to $3,236
FacilityA hospital or hospital-owned outpatient department$3,020$3,020 to $4,074

How much rates vary

Facilitymedian $3,020 · 10th to 90th $3,020 to $7,079Professionalmedian $3,236 · 10th to 90th $3,020 to $4,365
$5K$10K$20Kfacility $3,020professional $3,236

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,235.94
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$8,317.64
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$10,232.93
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$5,128.61

Where West Virginia 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.

West Virginia· 48th of 51

$3,236

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.