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See a sample rate comparisonHCPCS L5701 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Replacement Sockets |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5701 |
National average reimbursement for HCPCS L5701 by major payers:
$4,015.95
$2,415.09
$2,628.95
$5,387.15
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HCPCS L5701
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$6,972.49Published rateQuest Diagnostics Venture LLC
$2,719.62Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$2,719.62Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$1,870.78Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$1,373.56Published rate
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See a sample payer proposalHCPCS L5701 vs. Other Replacement Sockets Codes
The HCPCS L5701 code is part of the Prosthetic Procedures services used for Replacement Sockets. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L5701 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L5700-HCPCS | High | Replacement, socket, below knee, molded to patient model |
| L5701-HCPCS | High | Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model |
| L5702-HCPCS | High | Replacement, socket, hip disarticulation, including hip joint, molded to patient model |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5701. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5701 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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