go back

Socket Insert, Above-Knee

New Jersey 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 $174 · 10th–90th $174$4790%50%90th$174Professionalmedian $263 · 10th–90th $182$4680%10%20%10th90th$263$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
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$630.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$467.74