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Knee Disarticulation, Molded Socket, Bent Knee Configuration

Maine rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Rates data updated July 2026.

How much does Knee Disarticulation, Molded Socket, Bent Knee Configuration cost?

$3,388

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $5,248 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,388$2,754 to $4,467
FacilityA hospital or hospital-owned outpatient department$5,248$3,631 to $6,026

How much rates vary

Facilitymedian $5,248 · 10th to 90th $3,311 to $6,457Professionalmedian $3,388 · 10th to 90th $2,188 to $4,467
$2.0K$5.0K$10.0K$20.0Kfacility $5,248professional $3,388

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$6,918.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,630.78
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,630.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,248.07
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,818.38
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,090.30
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,365.16
Typical High
$4,466.84

Where Maine sits

The same service costs 3.6 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $3,388 · 16th of 51
HI $7,413DE $2,042

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.