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Socket Insert, Above-Knee

Tennessee 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 $363 · 10th–90th $186$2,3440%20%10th90th$363Professionalmedian $209 · 10th–90th $186$3720%20%10th90th$209$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
$186.21
Median
$186.21
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$363.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$331.13