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

Vermont rates for HCPCS L5100

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

Rates data updated July 2026.

Facilitymedian $1,738 · 10th–90th $1,445$2,1880%20%40%10th90th$1,738Professionalmedian $1,738 · 10th–90th $1,622$2,0890%20%40%10th90th$1,738$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,905.46
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,137.96
Typical High
$6,760.83