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Knee Disarticulation, Molded Socket, Endoskeletal System

New Jersey rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Rates data updated July 2026.

How much does Knee Disarticulation, Molded Socket, Endoskeletal System cost?

$2,455

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $1,514 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$2,455$1,862 to $3,631
FacilityA hospital or hospital-owned outpatient department$1,514$1,514 to $3,020

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,514 to $4,074Professionalmedian $2,455 · 10th to 90th $1,585 to $4,074
$2K$5K$10K$20Kfacility $1,514professional $2,455

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
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$3,019.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,890.45
Typical High
$5,370.32
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,890.45

Where New Jersey sits

The same service costs 2.8 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.

New Jersey· 35th of 51

$2,455

HI $5,248DE $1,862

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.