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Acrylic Socket, Above-Knee or Knee Disarticulation

New Hampshire rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $724 · 10th–90th $398$8710%20%40%10th90th$724Professionalmedian $479 · 10th–90th $309$6170%20%10th90th$479$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
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$363.08
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$616.60
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,000.00