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Acrylic Socket, Above-Knee or Knee Disarticulation

South Carolina rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $234$7240%20%10th90th$355Professionalmedian $309 · 10th–90th $234$3980%20%10th90th$309$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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$436.52
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$398.11