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Ischial Containment/Narrow Medial-Lateral Socket

West Virginia 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 West Virginia, 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 $1,820 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$1,318$1,202 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,820$1,820 to $1,862

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,148 to $2,630Professionalmedian $1,318 · 10th to 90th $1,175 to $2,692
$1K$2K$5K$10Kfacility $1,820professional $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
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$12,589.25
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,905.46
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,148.15
Typical High
$2,630.27
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,691.53

Where West Virginia 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.

West Virginia· 45th 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.