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Total Contact Socket, Above-Knee or Knee Disarticulation

New Hampshire rates for HCPCS L5650

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $331$7240%20%10th90th$603Professionalmedian $398 · 10th–90th $295$5130%20%10th90th$398$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
$331.13
Median
$331.13
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$380.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$398.11
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$512.86
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$831.76