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Test Socket, Hemipelvectomy

Nationwide rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $275$1,5140%10%10th90th$490Professionalmedian $380 · 10th–90th $263$7760%20%10th90th$380$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$263.03
Median
$346.74
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$588.84