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Nationwide rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Facilitymedian $427 · 10th–90th $251–$1,2880%10%10th90th$427Professionalmedian $331 · 10th–90th $234–$6170%20%10th90th$331$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $309.03 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $331.13 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $398.11 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $575.44

See more rates by state

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