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Total Contact Socket, Above-Knee or Knee Disarticulation

Washington rates for HCPCS L5650

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $447$1,4790%20%10th90th$692Professionalmedian $575 · 10th–90th $295$1,1480%10%20%10th90th$575$5.0$20.0$100.0$500.0$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
$446.68
Median
$1,023.29
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$3,388.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$691.83
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$776.25
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
$380.19
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$870.96
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$524.81
Typical High
$575.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$691.83
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$776.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,380.38
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$691.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$794.33
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$562.34
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$602.56
Typical High
$1,047.13