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Above Knee (AK), Proximal Femoral Focal Deficiency

Kansas rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Above Knee (AK), Proximal Femoral Focal Deficiency cost?

$4,467

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $3,981 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 5 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$4,467$3,090 to $4,467
FacilityA hospital or hospital-owned outpatient department$3,981$3,467 to $4,074

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,479 to $5,129Professionalmedian $4,467 · 10th to 90th $2,188 to $4,467
$2K$5K$10K$20Kfacility $3,981professional $4,467

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,570.40
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$6,606.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,388.44
Typical High
$11,748.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,454.71
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,981.07
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,454.71
Typical High
$3,548.13

Where Kansas sits

The same service costs 3.5 times more in Hawaii than in Delaware. 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.

Kansas· 11th of 51

$4,467

HI $7,079DE $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.