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Leather Socket, Above-Knee

Iowa rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Rates data updated July 2026.

How much does Leather Socket, Above-Knee cost?

$589

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $724 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 7 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$550$398 to $692
FacilityA hospital or hospital-owned outpatient department$724$589 to $1,202

How much rates vary

Facilitymedian $724 · 10th to 90th $490 to $1,950Professionalmedian $550 · 10th to 90th $324 to $977
$500$1K$2Kfacility $724professional $550

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
$446.68
Median
$691.83
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,000.00
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,148.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$758.58

Where Iowa sits

The same service costs 2.8 times more in South Dakota 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.

Iowa· 12th of 51

$589

SD $933DE $331

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.