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Exoskeletal Hip Disarticulation System, Ultra-Light

New Hampshire rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Rates data updated July 2026.

Facilitymedian $1,738 · 10th–90th $977$2,1380%20%10th90th$1,738Professionalmedian $1,148 · 10th–90th $661$1,5140%20%10th90th$1,148$500.0$1.0K$2.0K$5.0K

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
$977.24
Median
$977.24
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$2,137.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$891.25
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$1,513.56
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,454.71