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Exoskeletal Hip Disarticulation System, Ultra-Light

Utah rates for HCPCS L5795

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $417$1,2880%20%40%10th90th$676Professionalmedian $813 · 10th–90th $417$5,7540%10%20%10th90th$813$50.0$100.0$200.0$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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$758.58
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$933.25
Typical High
$1,230.27
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,288.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,445.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$1,318.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$977.24