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

Utah rates for HCPCS L5100

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

Rates data updated July 2026.

Facilitymedian $1,622 · 10th–90th $891$2,8180%20%40%10th90th$1,622Professionalmedian $1,660 · 10th–90th $891$14,1250%10%10th90th$1,660$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$2,041.74
Typical High
$2,630.27
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,818.38
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,801.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,818.38
Typical High
$3,388.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,818.38
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,819.70
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,137.96