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Preparatory Above-Knee/Knee Disarticulation, Prefabricated

New Mexico 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?

$2,188

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $2,512 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,188$1,549 to $2,570
FacilityA hospital or hospital-owned outpatient department$2,512$1,000 to $2,570

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,000 to $2,630Professionalmedian $2,188 · 10th to 90th $1,413 to $3,388
$1K$2K$5Kfacility $2,512professional $2,188

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
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$5,128.61
Providence
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,290.87
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,630.78
United
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,168.69
United
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,548.82
Typical High
$2,344.23

Where New Mexico 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.

New Mexico· 25th of 51

$2,188

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.