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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 July 2026.

Facilitymedian $331 · 10th–90th $219$4170%20%10th90th$331Professionalmedian $355 · 10th–90th $331$5250%20%40%10th90th$355$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$1,412.54