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Acrylic Socket, Above-Knee or Knee Disarticulation

Utah rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $263 · 10th–90th $170$5250%20%40%10th90th$263Professionalmedian $324 · 10th–90th $170$2,2910%10%20%10th90th$324$50.0$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
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$389.05
Typical High
$501.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$588.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$537.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$407.38