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Preparatory Above-Knee/Knee Disarticulation, Molded

Maine rates for HCPCS L5580

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model

Rates data updated July 2026.

How much does Preparatory Above-Knee/Knee Disarticulation, Molded cost?

$1,995

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $3,090 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$1,950$1,660 to $2,570
FacilityA hospital or hospital-owned outpatient department$3,090$2,138 to $3,467

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,778 to $3,715Professionalmedian $1,950 · 10th to 90th $1,288 to $2,570
$1.0K$2.0K$5.0K$10.0Kfacility $3,090professional $1,950

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
$1,288.25
Median
$1,698.24
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,467.37
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,778.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,698.24
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,862.09
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,570.40
Typical High
$2,570.40

Where Maine sits

The same service costs 3.3 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 $1,995 · 18th of 51
HI $4,169DE $1,259

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.