go back

Cushion Socket, Above-Knee

New Jersey rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Rates data updated October 2026.

How much does Cushion Socket, Above-Knee cost?

$437

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $589 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$437$355 to $891
FacilityA hospital or hospital-owned outpatient department$589$347 to $589

How much rates vary

Facilitymedian $589 · 10th to 90th $182 to $891Professionalmedian $437 · 10th to 90th $324 to $891
$200$500$1Kfacility $589professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$47.86
Median
$47.86
Typical High
$57.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$588.84
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,174.90
Typical High
$1,174.90
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$398.11
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$489.78
Typical High
$851.14

Where New Jersey sits

The same service costs 2.5 times more in Montana than in Alabama. 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 Jersey· 43rd of 51

$437

MT $1,072AL $427

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.