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Socket Insert, Above-Knee

South Carolina 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 $309 · 10th–90th $195$5890%20%10th90th$309Professionalmedian $229 · 10th–90th $195$3800%20%10th90th$229$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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$346.74
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$331.13