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Acrylic Socket, Above-Knee or Knee Disarticulation

Vermont rates for HCPCS L5631

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

Rates data updated October 2026.

How much does Acrylic Socket, Above-Knee or Knee Disarticulation cost?

$347

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $240 to $562.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $331 · 10th to 90th $219 to $513Professionalmedian $347 · 10th to 90th $240 to $589
$200$500$1K$2Kfacility $331professional $347

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$537.03
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$331.13
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$524.81
Typical High
$1,412.54

Where Vermont sits

The same service costs 2.4 times more in Arkansas than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 29th of 51

$347

AR $603FL $251

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.