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Socket Insert, Above-Knee

Maryland 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 $331 · 10th–90th $182$4680%20%40%10th90th$331Professionalmedian $245 · 10th–90th $195$3390%20%40%10th90th$245$200.0$500.0$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
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$398.11