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Socket Insert, Above-Knee

Nebraska 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 $537 · 10th–90th $288$1,1220%20%10th90th$537Professionalmedian $191 · 10th–90th $182$3980%50%10th90th$191$200.0$500.0$1.0K$2.0K

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
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$512.86
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
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$407.38