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Acrylic Socket, Below-Knee

New Hampshire rates for HCPCS L5629

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $288$6310%20%40%10th90th$513Professionalmedian $339 · 10th–90th $224$4470%20%10th90th$339$200.0$500.0$1.0K$2.0K

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
$288.40
Median
$288.40
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$245.47
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$263.03
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$446.68
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$724.44