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Socket Insert, Above-Knee

Missouri 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 $427 · 10th–90th $240$1,0000%20%10th90th$427Professionalmedian $282 · 10th–90th $234$6310%20%10th90th$282$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
$239.88
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$1,949.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,862.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$269.15
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$398.11