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Below Knee (BK), Molded Socket, Shin, SACH Foot

Hawaii rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Rates data updated July 2026.

Facilitymedian $1,905 · 10th–90th $1,738$2,6300%20%10th90th$1,905Professionalmedian $3,388 · 10th–90th $1,122$3,3880%50%10th$3,388$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,090.30
Typical High
$4,168.69
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,905.46
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$4,168.69