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Total Contact Socket, Above-Knee or Knee Disarticulation

South Carolina rates for HCPCS L5650

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

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $263$7940%20%10th90th$389Professionalmedian $339 · 10th–90th $263$4470%20%10th90th$339$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
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$354.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$933.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$436.52