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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Indiana 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 $5,623 · 10th–90th $2,630$6,0260%50%10th90th$5,623Professionalmedian $2,754 · 10th–90th $2,344$4,2660%50%10th90th$2,754$5.0$20.0$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
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,951.21
Typical High
$5,370.32
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$6,606.93
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$3,981.07