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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

New Mexico 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 $3,631 · 10th–90th $1,549$5,8880%20%10th90th$3,631Professionalmedian $2,884 · 10th–90th $2,630$8,9130%20%10th90th$2,884$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
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,884.03
Typical High
$28,183.83
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
$8,128.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$7,244.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$5,888.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$3,715.35