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Flexible Inner Socket, External Frame, Above-Knee

New Jersey rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Rates data updated October 2026.

How much does Flexible Inner Socket, External Frame, Above-Knee cost?

$871

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,202 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$871$631 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,202$562 to $1,202

How much rates vary

Facilitymedian $1,202 · 10th to 90th $457 to $1,479Professionalmedian $871 · 10th to 90th $525 to $1,479
$500$1Kfacility $1,202professional $871

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
$524.81
Median
$524.81
Typical High
$562.34
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$645.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$263.03
Median
$263.03
Typical High
$323.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$52.48
Median
$52.48
Typical High
$64.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,905.46
Typical High
$1,905.46
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$724.44
Typical High
$1,659.59
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$831.76
Typical High
$1,412.54

Where New Jersey sits

The same service costs 2.6 times more in Montana than in Florida. 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· 40th of 51

$871

MT $1,950FL $759

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.