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Acrylic Socket, Below-Knee

Wisconsin rates for HCPCS L5629

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

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $316$7080%20%40%10th90th$389Professionalmedian $363 · 10th–90th $191$6610%20%10th90th$363$0.5$2.0$10.0$50.0$200.0$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
$190.55
Median
$501.19
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$891.25
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$562.34
Typical High
$741.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$478.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$257.04
Network Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Network Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$758.58
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$478.63
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$380.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,148.15
Quartz
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$794.33
Typical High
$2,041.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$575.44
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$371.54