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Total Contact Socket, Above-Knee or Knee Disarticulation

Montana rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $479$9550%20%10th90th$759Professionalmedian $617 · 10th–90th $191$1,4790%10%10th90th$617$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
Professional
Modifier
Global
Typical Low
$190.55
Median
$489.78
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$812.83
Typical High
$812.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$707.95
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$616.60
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$446.68