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Wood Socket, Below-Knee

Pennsylvania rates for HCPCS L5639

Addition to lower extremity, below knee (BK), wood socket

Rates data updated July 2026.

How much does Wood Socket, Below-Knee cost?

$676

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $2,188 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 9 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$676$631 to $912
FacilityA hospital or hospital-owned outpatient department$2,188$661 to $3,311

How much rates vary

Facilitymedian $2,188 · 10th to 90th $617 to $4,898Professionalmedian $676 · 10th to 90th $603 to $1,202
$500$1K$2K$5K$10K$20K$50Kfacility $2,188professional $676

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,122.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$870.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$3,311.31
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$1,412.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$2,344.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,122.02
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,311.31
Typical High
$5,370.32
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,479.11

Where Pennsylvania sits

The same service costs 4.1 times more in Hawaii than in Delaware. 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.

Pennsylvania· 48th of 51

$676

HI $2,512DE $617

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.