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Acrylic Socket, Below-Knee

Illinois rates for HCPCS L5629

Addition to lower extremity, below knee (BK), acrylic socket

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $191$1,9500%20%10th90th$389Professionalmedian $295 · 10th–90th $191$3890%20%10th90th$295$0.5$2.0$10.0$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
$190.55
Median
$190.55
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$588.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$338.84