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Total Contact Socket, Above-Knee or Knee Disarticulation

Utah rates for HCPCS L5650

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

Rates data updated July 2026.

Facilitymedian $380 · 10th–90th $191$7760%20%40%10th90th$380Professionalmedian $407 · 10th–90th $191$3,3880%10%10th90th$407$50.0$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
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$575.44
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$776.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$758.58
Typical High
$794.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$446.68