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Preparatory Above-Knee/Knee Disarticulation, Prefabricated

Washington, DC rates for HCPCS L5585

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket

Rates data updated October 2026.

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

$1,660

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,622 to $2,138.

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.

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,622 to $2,754Professionalmedian $1,660 · 10th to 90th $1,479 to $2,692
$1K$2K$5Kfacility $1,622professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$707.95
Median
$812.83
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$288.40
Median
$331.13
Typical High
$416.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$213.80
Median
$245.47
Typical High
$316.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$144.54
Median
$162.18
Typical High
$208.93
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,691.53
Typical High
$6,165.95
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,905.46
Typical High
$2,691.53

Where Washington, DC sits

The same service costs 2.4 times more in Wisconsin than in Washington, DC. 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.

Washington, DC· 51st of 51

$1,660

WI $3,981DC $1,660

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.