go back

Leather Socket, Above-Knee

Michigan 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?

$468

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $1,000 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$468$398 to $813
FacilityA hospital or hospital-owned outpatient department$1,000$490 to $2,188

How much rates vary

Facilitymedian $1,000 · 10th to 90th $468 to $3,311Professionalmedian $468 · 10th to 90th $363 to $832
$10$100$1Kfacility $1,000professional $468

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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,454.71
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$812.83
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$912.01
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,548.82
Typical High
$1,737.80
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,000.00
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$588.84

Where Michigan 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.

Michigan· 23rd of 51

$468

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.