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Suction Suspension, Above-Knee or Knee Disarticulation

Delaware rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Rates data updated October 2026.

How much does Suction Suspension, Above-Knee or Knee Disarticulation cost?

$245

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $339 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$245$234 to $295
FacilityA hospital or hospital-owned outpatient department$339$263 to $363

How much rates vary

Facilitymedian $339 · 10th to 90th $214 to $794Professionalmedian $245 · 10th to 90th $214 to $389
$200$500$1Kfacility $339professional $245

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$281.84
Typical High
$398.11
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Professional
Modifier
KX · Policy requirements met
Typical Low
$524.81
Median
$524.81
Typical High
$524.81

Where Delaware sits

The same service costs 2.8 times more in Wyoming 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.

Delaware· 51st of 51

$245

WY $676DE $245

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.