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Ischial Containment/Narrow Medial-Lateral Socket

Rhode Island rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Rates data updated October 2026.

How much does Ischial Containment/Narrow Medial-Lateral Socket cost?

$1,318

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $4,266 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,288 to $1,445
FacilityA hospital or hospital-owned outpatient department$4,266$3,311 to $4,786

How much rates vary

Facilitymedian $4,266 · 10th to 90th $3,090 to $5,248Professionalmedian $1,318 · 10th to 90th $955 to $1,905
$1K$2K$5Kfacility $4,266professional $1,318

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
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$5,248.07
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,288.25
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,445.44
Typical High
$1,905.46

Where Rhode Island sits

The same service costs 2.3 times more in Wisconsin than in Pennsylvania. 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.

Rhode Island· 49th of 51

$1,318

WI $2,951PA $1,288

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.