go back

Acrylic Socket, Above-Knee or Knee Disarticulation

Indiana rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $537 · 10th–90th $251$6170%20%40%10th90th$537Professionalmedian $302 · 10th–90th $240$4370%20%40%10th90th$302$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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$407.38