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Socket Insert, Above-Knee

Illinois 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 $562 · 10th–90th $269$2,8180%20%10th90th$562Professionalmedian $275 · 10th–90th $204$5620%20%10th90th$275$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
$269.15
Median
$269.15
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$575.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$660.69
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$457.09