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Leather Socket, Above-Knee

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $851 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 8 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$447$398 to $589
FacilityA hospital or hospital-owned outpatient department$851$631 to $955

How much rates vary

Facilitymedian $851 · 10th to 90th $398 to $1,413Professionalmedian $447 · 10th to 90th $363 to $912
$500$1K$2Kfacility $851professional $447

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
$398.11
Median
$398.11
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,096.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$562.34
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$562.34
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$724.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$588.84

Where Ohio 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.

Ohio· 26th 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.