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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

West Virginia rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Rates data updated October 2026.

How much does Preparatory Hip/Hemipelvectomy, Thermoplastic Socket cost?

$2,630

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,548 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,630$2,512 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,548$3,548 to $3,715

How much rates vary

Facilitymedian $3,548 · 10th to 90th $3,311 to $5,623Professionalmedian $2,630 · 10th to 90th $2,512 to $5,623
$2K$5K$10K$20Kfacility $3,548professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
CareSource
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
CareSource
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$26,915.35
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$5,623.41
United
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$3,235.94
Typical High
$5,623.41

Where West Virginia sits

The same service costs 4.3 times more in Hawaii than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 47th of 51

$2,630

HI $11,220PA $2,630

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.