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Below Knee (BK), Molded Socket, Endoskeletal System

Montana rates for HCPCS L5301

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

Rates data updated July 2026.

Facilitymedian $2,692 · 10th–90th $1,995$3,8900%20%40%10th90th$2,692Professionalmedian $2,692 · 10th–90th $891$5,2480%20%10th90th$2,692$100.0$200.0$500.0$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
Professional
Modifier
Global
Typical Low
$891.25
Median
$2,754.23
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,951.21
Typical High
$2,951.21
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$5,248.07
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$5,248.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,691.53
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,187.76
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$2,137.96