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Leather Socket, Above-Knee

New York 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?

$457

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $603 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$457$389 to $708
FacilityA hospital or hospital-owned outpatient department$603$513 to $933

How much rates vary

Facilitymedian $603 · 10th to 90th $363 to $1,349Professionalmedian $457 · 10th to 90th $324 to $1,288
$500$1K$2K$5K$10K$20K$50Kfacility $603professional $457

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
$323.59
Median
$389.05
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,445.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$741.31
Typical High
$741.31
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$549.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$3,467.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,737.80
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$602.56
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,479.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$630.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$602.56

Where New York 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.

New York· 27th of 51

$457

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.