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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Wisconsin 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 $4,266$10,2330%50%10th90th$5,623Professionalmedian $5,248 · 10th–90th $2,754$9,3330%20%10th90th$5,248$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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$5,128.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$12,882.50
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$8,128.31
Typical High
$10,715.19
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$6,918.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,495.41
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,495.41
Typical High
$25,703.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,467.37
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$3,235.94
Network Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,309.57
Typical High
$10,964.78
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$6,918.31
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,495.41
Typical High
$6,456.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$8,511.38
Typical High
$14,454.40
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$11,481.54
Typical High
$26,302.68
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$8,317.64
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$5,128.61