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Socket Insert, Above-Knee

Oregon 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 $525 · 10th–90th $437$5750%50%10th90th$525Professionalmedian $437 · 10th–90th $204$6460%10%10th90th$437$0.5$5.0$50.0$500.0$5.0K

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
$263.03
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$977.24
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$645.65
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$575.44
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$645.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$512.86
Typical High
$616.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$288.40
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$416.87