go back

Socket Insert, Above-Knee

Iowa rates for HCPCS L5658

Addition to lower extremity, socket insert, above knee (AK) (Kemblo, Pelite, Aliplast, Plastazote or equal)

Rates data updated July 2026.

Facilitymedian $457 · 10th–90th $288$1,2300%10%20%10th90th$457Professionalmedian $339 · 10th–90th $191$6310%10%20%10th90th$339$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
$251.19
Median
$407.38
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$630.96
Typical High
$794.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$676.08
Midlands
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$549.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$524.81