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Preparatory Above-Knee/Knee Disarticulation, Molded

Michigan 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.

Facilitymedian $3,890 · 10th–90th $1,862$13,8040%20%10th90th$3,890Professionalmedian $1,950 · 10th–90th $1,413$3,3880%20%10th90th$1,950$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,232.93
Typical High
$19,498.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$3,548.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$3,548.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,456.54
Typical High
$7,244.36
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,691.53
Typical High
$4,168.69
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,818.38
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,754.23
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,290.87