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Acrylic Socket, Above-Knee or Knee Disarticulation

Idaho rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $282$7240%20%10th90th$501Professionalmedian $380 · 10th–90th $245$5890%20%10th90th$380$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
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$436.52
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$512.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$588.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$812.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$398.11
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$407.38