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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Alaska rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Rates data updated July 2026.

Facilitymedian $3,162 · 10th–90th $1,549$10,0000%20%40%10th90th$3,162Professionalmedian $3,715 · 10th–90th $2,570$14,1250%10%10th90th$3,715$100.0$500.0$2.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,884.03
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$12,022.64
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$10,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$10,471.29
Typical High
$16,595.87
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$10,000.00
Typical High
$10,471.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$10,000.00
Typical High
$10,471.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$6,918.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,548.13
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$5,128.61
Typical High
$11,748.98