go back

Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Utah 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 $3,236 · 10th–90th $1,549$4,7860%20%40%10th90th$3,236Professionalmedian $3,020 · 10th–90th $1,549$28,1840%10%10th90th$3,020$50.0$200.0$1.0K$5.0K$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
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,137.96
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
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,548.13
Typical High
$4,570.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,786.30
Typical High
$4,786.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,467.37
Typical High
$6,025.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,897.79
Typical High
$5,495.41
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,897.79
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$3,715.35