go back

Preparatory Above-Knee/Knee Disarticulation, Prefabricated

West Virginia 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?

$1,862

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $2,570 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,862$1,549 to $2,344
FacilityA hospital or hospital-owned outpatient department$2,570$2,570 to $2,570

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,660 to $3,548Professionalmedian $1,862 · 10th to 90th $1,514 to $3,388
$1K$2K$5K$10Kfacility $2,570professional $1,862

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
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
CareSource
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
CareSource
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$16,982.44
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$3,548.13
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$3,388.44

Where West Virginia 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.

West Virginia· 42nd of 51

$1,862

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.