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

Washington rates for HCPCS L5100

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

Rates data updated July 2026.

Facilitymedian $3,311 · 10th–90th $2,188$6,7610%20%10th90th$3,311Professionalmedian $2,754 · 10th–90th $1,380$5,4950%10%10th90th$2,754$50.0$200.0$1.0K$5.0K$20.0K

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
$2,187.76
Median
$2,187.76
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$14,125.38
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,388.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,801.89
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,168.69
Typical High
$9,549.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$2,570.40
Typical High
$2,818.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$3,388.44
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$3,388.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,897.79
Typical High
$6,760.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,311.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,801.89
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$2,754.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$5,128.61