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Acrylic Socket, Above-Knee or Knee Disarticulation

Montana rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $347$7590%20%40%10th90th$513Professionalmedian $437 · 10th–90th $170$1,0000%20%10th90th$437$100.0$200.0$500.0$1.0K$2.0K

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
$169.82
Median
$436.52
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$549.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,000.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$416.87
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$407.38