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Socket Insert, Above-Knee

Massachusetts 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 $363 · 10th–90th $224$1,5850%10%20%10th90th$363Professionalmedian $447 · 10th–90th $224$6760%20%10th90th$447$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$707.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$2,344.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$457.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$676.08
Health New England
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$2,344.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$446.68