go back

Acrylic Socket, Below-Knee

Texas rates for HCPCS L5629

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

Rates data updated July 2026.

Facilitymedian $380 · 10th–90th $224$7940%10%20%10th90th$380Professionalmedian $240 · 10th–90th $182$4470%20%40%10th90th$240$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
$223.87
Median
$239.88
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$512.86
Christus
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$245.47
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,801.89
Typical High
$3,801.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$537.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$537.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$416.87
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$707.95