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Total Contact Socket, Above-Knee or Knee Disarticulation

Ohio rates for HCPCS L5650

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

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $295$1,0230%20%10th90th$617Professionalmedian $316 · 10th–90th $275$6460%20%40%10th90th$316$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
$288.40
Median
$288.40
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$776.25
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$416.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$512.86
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$446.68