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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Michigan 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 $6,607 · 10th–90th $3,162$22,3870%20%10th90th$6,607Professionalmedian $3,162 · 10th–90th $2,512$5,4950%20%10th90th$3,162$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
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,884.03
Typical High
$3,311.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$16,595.87
Typical High
$31,622.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,495.41
Typical High
$5,754.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
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
$3,548.13
Typical High
$6,025.60
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$10,471.29
Typical High
$11,748.98
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$6,760.83
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,570.88
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,466.84
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$3,890.45