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

New Hampshire rates for HCPCS L5100

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

Rates data updated July 2026.

Facilitymedian $3,388 · 10th–90th $1,905$4,1690%20%10th90th$3,388Professionalmedian $2,239 · 10th–90th $1,318$2,9510%20%10th90th$2,239$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$2,290.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,630.78
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,737.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,905.46
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,137.96
Typical High
$2,951.21
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,786.30