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Acrylic Socket, Above-Knee or Knee Disarticulation

Wisconsin rates for HCPCS L5631

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

Rates data updated July 2026.

Facilitymedian $537 · 10th–90th $437$9770%50%10th90th$537Professionalmedian $501 · 10th–90th $263$8910%20%10th90th$501$0.5$2.0$10.0$50.0$200.0$1.0K

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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,230.27
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$776.25
Typical High
$1,023.29
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$660.69
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$851.14
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$354.81
Network Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Network Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$1,047.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$660.69
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,584.89
Quartz
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,096.48
Typical High
$2,818.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$794.33
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$512.86