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Leather Socket, Above-Knee

Pennsylvania 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?

$380

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $1,202 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$372$331 to $501
FacilityA hospital or hospital-owned outpatient department$1,202$355 to $1,778

How much rates vary

Facilitymedian $1,202 · 10th to 90th $331 to $2,692Professionalmedian $372 · 10th to 90th $324 to $692
$500$1K$2K$5K$10K$20K$50Kfacility $1,202professional $372

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
$331.13
Median
$331.13
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$645.65
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
$416.87
Median
$602.56
Typical High
$758.58
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
$524.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,737.80
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$758.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,288.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$645.65
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$2,884.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$831.76

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$380

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.