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Total Contact Socket, Above-Knee or Knee Disarticulation

Wisconsin 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 $457$1,0960%20%40%10th90th$603Professionalmedian $550 · 10th–90th $295$1,0000%20%10th90th$550$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,380.38
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$870.96
Typical High
$1,122.02
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$741.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$398.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Network Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,174.90
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$741.31
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$776.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$1,737.80
Quartz
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,202.26
Typical High
$3,162.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$891.25
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$602.56