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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

New Hampshire 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 $6,026 · 10th–90th $3,311$7,4130%20%10th90th$6,026Professionalmedian $3,981 · 10th–90th $2,570$5,2480%20%10th90th$3,981$2.0K$5.0K$10.0K$20.0K

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
$3,311.31
Median
$3,311.31
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,456.54
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,467.37
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$5,248.07
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$8,511.38