go back

Acrylic Socket, Below-Knee

Utah rates for HCPCS L5629

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

Rates data updated July 2026.

Facilitymedian $245 · 10th–90th $123$3800%20%40%10th90th$245Professionalmedian $240 · 10th–90th $123$1,6600%10%20%10th90th$240$50.0$100.0$200.0$500.0$1.0K

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$275.42
Typical High
$363.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$275.42
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$389.05
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$295.12